Most Relevant Information
Provider Data
| NPI Number: | 1003487489 |
| Provider Name: | ASHLEY KRYSTYNA BJELICIC PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 50.006672RX |
Most Important Dates
| Enumeration Date: | 07/07/2021 |
| Last Updated: | 06/28/2022 |
Provider Practice Location
20300 CHAGRIN BLVD
SHAKER HEIGHTS
OH
441224973
Practice Location Phone/Fax
| Phone: | 2162859667 |
| Fax: |
Provider Mailing Location
PO BOX 500
ELLICOTTVILLE
NY
147310500
Provider Mailing Phone/Fax
| Phone: | 7166999032 |
| Fax: |