Individual
MICHAEL CACKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 ZOLLINGER RD FL 4, COLUMBUS, OH 43221-2800
(614) 293-2222
(614) 293-2200
Mailing address
395 W 12TH AVE, 5TH FLOOR, COLUMBUS, OH 43210-1267
(614) 293-9269
(614) 293-5877
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
043635
CT
207VM0101X
Maternal & Fetal Medicine Physician
Primary
35.099633
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068451
—
OH
Enumeration date
11/22/2005
Last updated
07/21/2022
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