Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 35-046119 | OH |
NPI | 1013901198 |
---|---|
Provider Name | Michael J Meagher |
First Address | Dublin, OH 43016-4259 |
Second Address | Columbus, OH 43221-2417 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2005 |
Last Update Date | 06/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0461129 | (05) | OH |
A79997 | (02) |