MEDICARE: MICHAEL S CHUNE DO, MD

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	208800000X	Urology Physician	34005424	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1669472015	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669472015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL S CHUNE DO, MD

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

Provider Business Practice Location Address
First Line	:	2151 STATE ROUTE 725 RD
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45459-3814
Country	:	US
Telephone Number	:	937-985-1220
Fax Number	:	937-528-2001

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

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	01/23/2019

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