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Individual
MICHAEL FUNYAK
Active
Individual
MICHAEL FUNYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018704
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30106197
DRIVER'S LICENSE NUMBER
PA
Enumeration date
08/23/2018
Last updated
08/23/2018
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