Jonathan Edward Vichosky
NPI #1023695202 in Silver Lake, Ohio
Provider Information
- NPI Number
- 1023695202
- Entity Type
- Individual
- Name
- Jonathan Edward Vichosky
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Enumeration Date
- Mar 25, 2021
- Last Updated
- Jun 2, 2022
Practice Location
- Address
- 2815 HASTINGS RD
- City
- Silver Lake
- State
- Ohio
- ZIP Code
- 44224-3703
- Phone
- (440) 812-9639
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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