Individual
DR. MICHAEL DAVID PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
800 MCCONNELL RD, COLUMBUS, OH 43214-3463
(614) 566-5377
(614) 533-6200
Mailing address
661 S TRIMBLE RD, MANSFIELD, OH 44906-3437
(419) 774-0478
(419) 774-9887
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
34.006927
OH
207RN0300X
Nephrology Physician
34006927P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0114549
GROUP MEDICAID
OH
05
—
2321697
—
OH
01
—
KI9260531
GROUP MEDICARE
OH
Enumeration date
06/30/2005
Last updated
12/22/2023
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