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Individual

DR. BRIAN ALEX KUVSHINIKOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
15 SOUTHMOOR CIR NE, DAYTON, OH 45429-2451
(937) 293-6896
(937) 293-9150
Mailing address
15 SOUTHMOOR CIR NE, DAYTON, OH 45429-2451
(937) 293-6896
(937) 293-9150

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36-003316
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2385066
OH
Enumeration date
06/16/2005
Last updated
06/30/2016
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