MICHAEL R. MIZENKO

DENVER, CO
NPI1063536712
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CO  DR.0054317)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: OH  34-004168)
Enumeration Date2007-03-19
Last Update Date2021-03-11
Business Address
MICHAEL R. MIZENKO D.O.
777 BANNOCK ST
DENVER, CO 80204-4507
Phone number: 614-738-6442
Mailing Address
MICHAEL R. MIZENKO D.O.
777 BANNOCK ST
DENVER, CO 80204-4507
Phone number: 614-738-6442