Individual
DR. JOHN J MIZENKO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4100 WARRENSVILLE CENTER RD, SUITE 203, WARRENSVILLE HEIGHTS, OH 44122-7024
(216) 561-0801
Mailing address
4100 WARRENSVILLE CENTER RD, SUITE 203, WARRENSVILLE HEIGHTS, OH 44122-7024
(216) 561-0801
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
34001263M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0089961
—
OH
Enumeration date
08/09/2005
Last updated
07/08/2007
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