Provider Demographics
NPI:1568596005
Name:CLAUSING, MICHAEL HENRY
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:HENRY
Last Name:CLAUSING
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:MICHAEL
Other - Middle Name:H
Other - Last Name:CLAUSING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:1126 WESTCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:NAPOLEON
Mailing Address - State:OH
Mailing Address - Zip Code:43545-1276
Mailing Address - Country:US
Mailing Address - Phone:419-599-1591
Mailing Address - Fax:
Practice Address - Street 1:1221 W HIGH ST
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:OH
Practice Address - Zip Code:43506-1543
Practice Address - Country:US
Practice Address - Phone:419-636-6142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-09838183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist