Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 4301095626 | MI |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 35.093174 | OH |
NPI | 1144435553 |
---|---|
Provider Name | Dr. Michael Paczas |
First Address | Cincinnati, OH 45247-7961 |
Second Address | Mason, OH 45040-7828 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2007 |
Last Update Date | 02/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2962352 | (05) | OH |