Individual
MICHAEL R. MIZENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(614) 738-6442
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4507
(614) 738-6442
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
34-004168
OH
2084P0800X
Psychiatry Physician
Primary
DR.0054317
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0635487
—
OH
01
—
111357000
MAGELLAN
OH
Enumeration date
03/19/2007
Last updated
03/11/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us