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NPI Code Detail

MEDICARE: MICHAEL JAMES HUNGERMAN PA C

MEDICARE: MICHAEL JAMES HUNGERMAN PA C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant1359OH

General Provider Information

NPI Number : 1982681938
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL JAMES HUNGERMAN PA C
Provider Business Mailing Address
First Line : 2712 CIRCLEWOOE DRIVE
Second Line :
City : WESTLAKE
State : OH
Zip : 44145-4968
Country : US
Telephone Number : 440-289-8211
Fax Number :
Provider Business Practice Location Address
First Line : 4510 RICHMOND RD
Second Line :
City : WARRENSVILLE HEIGHTS
State : OH
Zip : 44128-5757
Country : US
Telephone Number : 216-765-2927
Fax Number : 216-201-8302
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2005
Last Update Date : 12/08/2020

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