MEDICARE: DR. MICHAEL WAYNE HANKINS JR. DPM

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
1	213ES0103X	Foot & Ankle Surgery Podiatrist	SC006820	PA

General Provider Information

NPI Number	:	1548782907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL WAYNE HANKINS JR. DPM

Provider Business Mailing Address
First Line	:	1 LECOM PL
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16505-2571
Country	:	US
Telephone Number	:	814-864-4031
Fax Number	:

Provider Business Practice Location Address
First Line	:	210 E STATE ST
Second Line	:
City	:	ALBION
State	:	PA
Zip	:	16401-1306
Country	:	US
Telephone Number	:	814-756-3434
Fax Number	:	814-756-4725

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2017
Last Update Date	:	07/15/2022

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