Individual
MICHAEL S PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1080 BEECHER XING N, GAHANNA, OH 43230-4557
(614) 476-4101
(614) 476-5303
Mailing address
1080 BEECHER XING N, GAHANNA, OH 43230-4557
(614) 476-4101
(614) 476-5303
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35062634
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0745856
MEDICARE PTAN
OH
05
—
0930560
—
OH
Enumeration date
06/06/2006
Last updated
11/01/2011
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