Individual
JENNIFER MITZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
376 W 10TH AVE, 780 PRIOR HALL, COLUMBUS, OH 43210-1280
(614) 293-8305
Mailing address
376 W 10TH AVE, 780 PRIOR HALL, COLUMBUS, OH 43210-1280
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35123808
OH
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
35123808
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0106379
—
OH
Enumeration date
03/27/2009
Last updated
02/15/2022
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