Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL JOHN RANDALL, 3747P1801X
ActiveFoot & Ankle Surgery · BELLBROOK, OH
Registration Details
- NPI Number
- 1336667336
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2017 (8.6446343679199 yrs)
- Last Updated
- May 10, 2021
- Licenses
-
0441283 (OH)LCDCII.161340 (OH)
Practice Information
- Address
-
1109 MEAD RDBELLBROOK, OH, 453058747Browse OH providers · Browse ZIP 45305
- Phone
- 9379739199
- Primary Specialty
-
Foot & Ankle Surgery
3747P1801X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Foot & Ankle Surgery Providers in BELLBROOK, OH
| Name | Credential | NPI |
|---|---|---|
| MR. BRADLEY WAYNE CLAGHORN JR. | — | 1629325071 |
| ANN MARIE PISELLI | — | 1447826086 |
| SHELLEY A OSTDIEK | — | 1689342644 |
| EMMA IRENE DEWEESE | — | 1588434740 |
| DR. TRACIE LYNN JOHNSON | DNP, RN-BC | 1326846833 |
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.