MEDICARE: MICHAEL L PEREZ DPM

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
1	213E00000X	Podiatrist	2076	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2076	OTHER	OH	STATE LICENSE

General Provider Information

NPI Number	:	1396735031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL L PEREZ DPM

Provider Business Mailing Address
First Line	:	3695 N HIGH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-3520
Country	:	US
Telephone Number	:	614-267-8387
Fax Number	:	614-267-2250

Provider Business Practice Location Address
First Line	:	3695 N HIGH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-3520
Country	:	US
Telephone Number	:	614-267-8387
Fax Number	:	614-267-2250

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2005
Last Update Date	:	02/13/2013

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Directions to “ MICHAEL L PEREZ DPM” Practice Location

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