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Organization
SHAMOKIN DAM HEALTH CENTER
Active
Organization
SHAMOKIN DAM HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J DUNIGAN DC (PRESIDENT)
(570) 743-4333
Entity
Organization
Contact information
Practice address
3166 N OLD TRAIL, SHAMOKIN DAM, PA 17876
(570) 743-4333
(570) 743-6012
Mailing address
3166 N OLD TRAIL, SHAMOKIN DAM, PA 17876
(570) 743-4333
(570) 743-6012
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD032484E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011475170006
—
PA
01
—
545802
BLUE SHIELD
PA
Enumeration date
11/14/2006
Last updated
08/22/2020
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