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PAVLO KOLYESNYKOV, DPM – NPI #1770213266
Surgery, Foot & Ankle

NPI Profile for PAVLO KOLYESNYKOV in FARGO, ND.

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Contact Information

PAVLO KOLYESNYKOV, DPM
801 BROADWAY N
FARGO, ND  58102-3641
 Phone: 701-234-5933
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

 213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for PAVLO KOLYESNYKOV · (Male)

NPI Number 1770213266
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/16/2022
Last updated 12/16/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 016.006122
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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