Individual
DR. MICHAEL PHILLIP DEPERRO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1830 BETHEL RD STE 200, COLUMBUS, OH 43220-1809
(614) 429-4950
(614) 429-4948
Mailing address
1830 BETHEL RD STE 200, COLUMBUS, OH 43220-1809
(614) 429-4950
(614) 429-4948
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
112600
OH
208200000X
Plastic Surgery Physician
Primary
122373
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165803
—
OH
05
—
1134573496
—
OH
01
—
811530392
TAX-ID
OH
Enumeration date
08/25/2008
Last updated
07/01/2025
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