Individual
MICAHEL L FITZPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
921 E FRANKLIN ST, KENTON, OH 43326-2020
(419) 675-8328
Mailing address
7507 ANNIN ST, HOLLAND, OH 43528-9550
(419) 866-2178
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35052675F
OH
207Q00000X
Family Medicine Physician
35052675F
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0627521
—
OH
Enumeration date
01/27/2006
Last updated
03/07/2008
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