Provider Demographics
NPI:1992034615
Name:FAILOR, MICHAEL EUGENE (DO)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:EUGENE
Last Name:FAILOR
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:PO BOX 185
Mailing Address - Street 2:
Mailing Address - City:ZANESFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:43360-0185
Mailing Address - Country:US
Mailing Address - Phone:937-593-0000
Mailing Address - Fax:937-599-0020
Practice Address - Street 1:4889 COLUMBUS ST
Practice Address - Street 2:
Practice Address - City:ZANESFIELD
Practice Address - State:OH
Practice Address - Zip Code:43360-0185
Practice Address - Country:US
Practice Address - Phone:937-593-0000
Practice Address - Fax:937-599-0020
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2014207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine