Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 25369 | OH |
N | 208600000X | Surgeon | 25369 | OH |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 25369 | OH |
NPI | 1144291279 |
---|---|
Provider Name | Francesco Michienzi |
First Address | Sandusky, OH 44870 |
Second Address | Sandusky, OH 44870 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5943251 | (05) | OH |
A70710 | (02) |