Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 125067321 | IL |
N | 208600000X | Surgeon | 125067321 | IL |
N | 208800000X | Urologist | 282257 | MA |
Y | 208800000X | Urologist | 35.142070 | OH |
NPI | 1023499415 |
---|---|
Provider Name | Dr. Michael Ryan Douglas Farrell |
First Address | Dublin, OH 43017-0727 |
Second Address | Columbus, OH 43215-5369 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2015 |
Last Update Date | 25/01/2022 |