BORIS VITVITSKIY

MUNCIE, IN
NPI1831517978
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: IN  02005332A)
Enumeration Date2014-04-05
Last Update Date2019-02-01
Business Address
BORIS VITVITSKIY D.O.
2525 W UNIVERSITY AVE
MUNCIE, IN 47303-3421
Phone number: 765-751-5886
Mailing Address
BORIS VITVITSKIY D.O.
1200 W WHITE RIVER BLVD
MUNCIE, IN 47303-4988
Phone number: 765-751-2600