Healthcare Provider Details

I. General information

NPI: 1164441531
Provider Name (Legal Business Name): MICHAEL DAVID DUNKERLEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 07/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

164 HIGH ST FRANKLIN MEDICAL CENTER- DEPT OF EMERGENCY MEDICINE
GREENFIELD MA
01301-2613
US

IV. Provider business mailing address

280 CHESTNUT ST 2ND FL
SPRINGFIELD MA
01199-1619
US

V. Phone/Fax

Practice location:
  • Phone: 413-773-2581
  • Fax:
Mailing address:
  • Phone: 413-794-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number227909
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number227909
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: