Individual
MICHAEL E EZZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2050 KENNY RD, SUITE 2200, COLUMBUS, OH 43221-3502
(614) 293-4925
(614) 293-5503
Mailing address
700 ACKERMAN RD, SUITE 260, COLUMBUS, OH 43202-1559
(614) 947-3700
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35.083780
OH
207RP1001X
Pulmonary Disease Physician
Primary
3583780
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2472695
—
OH
Enumeration date
04/12/2007
Last updated
01/25/2022
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