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Individual

MR. MICHAEL S BALDONI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 872-2432
(513) 872-8857
Mailing address
PO BOX 640738, CINCINNATI, OH 45264-0738
(937) 293-0247
(937) 293-0960

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN248906
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000356390
ANTHEM
OH
05
2552401
OH
05
74010166
KY
01
P0028497
RAILROAD MEDICARE PALMETT
OH
Enumeration date
04/26/2006
Last updated
07/09/2007
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