Healthcare Provider Details

I. General information

NPI: 1316252992
Provider Name (Legal Business Name): MICHAEL PARTUSCH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2010
Last Update Date: 08/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8250 WINTON RD
CINCINNATI OH
45231-5916
US

IV. Provider business mailing address

8250 WINTON RD
CINCINNATI OH
45231-5916
US

V. Phone/Fax

Practice location:
  • Phone: 513-931-6357
  • Fax: 513-728-4762
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.121973
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: