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NPI Code Detail

MEDICARE: DR. MICHAEL HUENEKE M.D.

MEDICARE:  DR. MICHAEL  HUENEKE  M.D.
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
1208200000XPlastic Surgery Physician30294TN

General Provider Information

NPI Number : 1548392673
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL HUENEKE M.D.
Provider Business Mailing Address
First Line : 1914 CHARLOTTE AVE
Second Line : SUITE 101
City : NASHVILLE
State : TN
Zip : 37203-2107
Country : US
Telephone Number : 615-327-0303
Fax Number : 615-321-0204
Provider Business Practice Location Address
First Line : 1914 CHARLOTTE AVE
Second Line : SUITE 101
City : NASHVILLE
State : TN
Zip : 37203-2107
Country : US
Telephone Number : 615-327-0303
Fax Number : 615-321-0204
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2007
Last Update Date : 11/16/2010

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Directions to “ DR. MICHAEL HUENEKE M.D.” Practice Location

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