Individual
JOHN PEABODY MIKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, APRN, NP-C
Contact information
Practice address
1237 NORWELL DR, COLUMBUS, OH 43220-3958
(614) 893-3668
Mailing address
1237 NORWELL DR, COLUMBUS, OH 43220-3958
(614) 893-3668
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0027339
OH
Other
Enumeration date
11/19/2020
Last updated
04/07/2022
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