Individual
MICHAEL PROKOPIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
7675 WELLNESS WAY, WEST CHESTER, OH 45069-2509
(513) 475-8152
(513) 475-8149
Mailing address
PO BOX 636256, CINCINNATI, OH 45263-6256
(513) 475-8152
(513) 475-8149
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35063758
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0217367
—
OH
Enumeration date
07/10/2006
Last updated
03/16/2018
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