NPI Code Details Logo

NPI 1669472015

NPI 1669472015 : MICHAEL S CHUNE DO, MD : DAYTON, OH

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1669472015
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MICHAEL S CHUNE DO, MD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/28/2005
-----------------------------------------------------
    Last Update Date     |    01/23/2019
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2151 STATE ROUTE 725 RD 
-----------------------------------------------------
    City                 |    DAYTON
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    45459-3814
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    937-985-1220
-----------------------------------------------------
    Fax                  |    937-528-2001
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    7847 LOIS CIR APT 118 
-----------------------------------------------------
    City                 |    DAYTON
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    45459-3694
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    937-602-1121
-----------------------------------------------------
    Fax                  |    937-528-2001
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    208800000X
-----------------------------------------------------
    Taxonomy Name        |    Urology Physician
-----------------------------------------------------
    License Number       |    34005424
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.