MEDICARE: GARY R KUTSIKOVICH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	35081014K	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255334272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GARY R KUTSIKOVICH M.D.

Provider Business Mailing Address
First Line	:	8224 MENTOR AVE
Second Line	:	STE 126
City	:	MENTOR
State	:	OH
Zip	:	44060-5768
Country	:	US
Telephone Number	:	440-205-9292
Fax Number	:	440-205-9191

Provider Business Practice Location Address
First Line	:	8224 MENTOR AVE
Second Line	:	STE 126
City	:	MENTOR
State	:	OH
Zip	:	44060-5768
Country	:	US
Telephone Number	:	440-205-9292
Fax Number	:	440-205-9191

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	01/13/2015

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