Search › Ohio › 103T00000X
Michael Forman, PHD
NPI 1194726133 · on the registry since 2005
Practice
- Address
- 3545 Olentangy Rvr Rd
Suite 214
Columbus, OH 43214 - Phone
- (614) 263-5908
- Fax
- (614) 263-5941
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-10-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio