MICHAEL FOMENKY

COLUMBUS, OH
NPI1053781575
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OH  COA.18158-NP)
Enumeration Date2015-09-26
Last Update Date2015-09-26
Business Address
-- MICHAEL FOMENKY CNP
5100 W BROAD ST
COLUMBUS, OH 43228-1607
Phone number: 614-286-5589
Mailing Address
-- MICHAEL FOMENKY CNP
212 WAKEFIELD AVE
PATASKALA, OH 43062-8012
Phone number: 614-286-5589
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