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Dr. Wade Tyler Chimerofsky, DPM
Foot & Ankle Surgery Podiatrist in Thousand Oaks, California
NPI 1174018287

Wade Tyler Chimerofsky is a Foot & Ankle Surgery Podiatrist based in Thousand Oaks, CA and is specialized in Foot & Ankle Surgery. Wade Tyler Chimerofsky practices in Thousand Oaks, CA and has the professional credentials of DPM. The NPI Number for Wade Tyler Chimerofsky is 1174018287 and holds a License No. (California).

The current practice location address for Wade Tyler Chimerofsky is 425 Haaland Dr Ste 201, Thousand Oaks, CA and can be reached out via phone at 805-496-2383.

Location: 425 Haaland Dr Ste 201, Thousand Oaks, CA, 91361-5231
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174018287
Provider Name
Wade Tyler Chimerofsky
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
425 Haaland Dr Ste 201, Thousand Oaks, CA, 91361-5231
Phone Number
805-496-2383
Fax Number
Provider Enumeration Date
06/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
425 Haaland Dr Ste 201
City
Thousand Oaks
State
California
Zip
91361-5231
Phone Number
805-496-2383
Fax Number
person
Provider Business Mailing Address Details
Address
425 Haaland Dr Ste 201
City
Thousand Oaks
State
California
Zip
91361-5231
Phone Number
805-496-2383
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
(Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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