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NPI Code Detail

MEDICARE: MR. MICHAEL JUSTIN M.D.

MEDICARE:  MR. MICHAEL  JUSTIN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist35067345OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023196904
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL JUSTIN M.D.
Provider Business Mailing Address
First Line : 1577 GOODMAN AVE
Second Line : A
City : CINCINNATI
State : OH
Zip : 45224-1004
Country : US
Telephone Number : 513-521-3600
Fax Number : 513-521-6400
Provider Business Practice Location Address
First Line : 1577 GOODMAN AVE
Second Line : A
City : CINCINNATI
State : OH
Zip : 45224-1004
Country : US
Telephone Number : 513-521-3600
Fax Number : 513-521-6400
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 09/11/2024

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Directions to “ MR. MICHAEL JUSTIN M.D.” Practice Location

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