Individual
DR. MITCHELL L. HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
770 KINNEAR ROAD, SUITE 100, COLUMBUS, OH 43212
(614) 293-6724
(614) 293-4541
Mailing address
700 ACKERMAN RD, SUITE 570, COLUMBUS, OH 43202-1559
(614) 293-6724
(614) 293-4541
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
35044974
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0596298
—
OH
01
—
P01138703
RAILROAD MEDICARE
OH
Enumeration date
05/18/2006
Last updated
10/29/2014
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