Healthcare Provider Details

I. General information

NPI: 1184687006
Provider Name (Legal Business Name): MICHAEL ANDREW DUNN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 09/25/2023
Certification Date: 09/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 LOTHROP ST
PITTSBURGH PA
15213-2536
US

IV. Provider business mailing address

2121 LAKE AVE
FORT WAYNE IN
46805-5100
US

V. Phone/Fax

Practice location:
  • Phone: 412-648-5982
  • Fax: 412-383-8992
Mailing address:
  • Phone: 260-426-5431
  • Fax: 260-460-1308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0008X
TaxonomyHepatology Physician
License NumberMD013772E
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD103772E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: