Individual
JIROM H MICAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 E MOUND ST, SUITE 110, COLUMBUS, OH 43215-5571
(614) 236-5474
Mailing address
510 E MOUND ST, SUITE 110, COLUMBUS, OH 43215-5571
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2087021
—
OH
Enumeration date
11/15/2006
Last updated
07/09/2007
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