Gennady Boldetsky

NPI #1407258510 in Wheeling, Illinois

Provider Information

NPI Number: 1407258510
Entity Type: Individual
Name: Gennady Boldetsky
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Enumeration Date: Sep 19, 2014
Last Updated: Sep 19, 2014

Practice Location

Address: 1040 S MILWAUKEE AVE
Address 2: SUITE 100
City: Wheeling
State: Illinois
ZIP Code: 60090-6373
Phone: (847) 366-9518

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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