Individual
MICHAEL A PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6503 E BROAD ST, SUITE 100, COLUMBUS, OH 43213-1692
(614) 434-5437
(614) 434-5438
Mailing address
6503 E BROAD ST, SUITE 100, COLUMBUS, OH 43213-1692
(614) 434-5437
(614) 434-5438
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-061867
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0886626
—
OH
Enumeration date
09/23/2005
Last updated
06/01/2011
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