Provider Demographics
NPI:1174642615
Name:SETNAR, MILTON (DO)
Entity Type:Individual
Prefix:MR
First Name:MILTON
Middle Name:
Last Name:SETNAR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 W 3RD AVE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43201-3256
Mailing Address - Country:US
Mailing Address - Phone:614-299-2557
Mailing Address - Fax:614-299-9311
Practice Address - Street 1:100 W 3RD AVE
Practice Address - Street 2:SUITE 250
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43201-3256
Practice Address - Country:US
Practice Address - Phone:614-299-2557
Practice Address - Fax:614-546-9311
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34001226207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0042322Medicaid
OHD89845Medicare UPIN
OH0011085Medicare PIN