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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL R. MIZENKO, D.O.

Active Sole Proprietor

MICHAEL R. MIZENKO, D.O. is a Psychiatry healthcare provider located in DENVER, Colorado. NPI 1063536712 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · DENVER, CO

Registration Details

NPI Number
1063536712
Provider Type
Individual
Gender
Male
NPI Issued
Mar 19, 2007 (19.442415476775 yrs)
Last Updated
Mar 11, 2021
Licenses
34-004168 (OH)
DR.0054317 (CO)
Sole Proprietor
Yes

Practice Information

Address
777 BANNOCK ST
DENVER, CO, 802044507
Browse CO providers · Browse ZIP 80204
Phone
6147386442
Primary Specialty
Psychiatry
2084P0800X
Additional Specialty
Psychiatry

Other Psychiatry Providers in DENVER, CO

Name Credential NPI
DR. MICHAEL ALAN SILVER M.D. 1659379410
DEBORAH JANE ROBINETT DO 1679572143
EMILY MCCORT M.D. 1538169859
ELIZABETH COOKSON M.D. 1508866831
DR. TODD M. KLINE M.D. 1003816398
ROBERT CARL CLARK M.D. 1861492035
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.