Doctor Name: | JOHN NICK PATZAKIS |
NPI Number: | 1093751448 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 34004003 |
Business Practice Address: | 99 Northline Cir Suite 99 Euclid, OH - 441191482 |
Business Phone Number: | 4406460755 |
Business Fax Number: | 4409955055 |
Mailing Address: | 5188 Hickory Drive, LYNDHURST |
State: | OH |
Postal Code: | 44124 |
Phone Number: | 4406460755 |
Fax Number: | 4409955055 |
NPI Enumeration Date: | 06/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | 34004003 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |