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Individual

MICHAEL HENRY JOSEPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5060 BRADENTON AVE, SUITE B, DUBLIN, OH 43017-3511
(614) 889-6422
(614) 453-8863
Mailing address
3982 POWELL RD, SUITE 271, POWELL, OH 43065-7662
(614) 889-6422
(614) 453-8863

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35090663
OH
208VP0000X
Pain Medicine Physician
Primary
35090663
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2786310
OH
Enumeration date
10/03/2006
Last updated
06/29/2013
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