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Individual

MICHAEL A CHUNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6860 TYLERSVILLE RD, SUITE 12, MASON, OH 45040-1236
(513) 701-3145
(513) 701-3146
Mailing address
6860 TYLERSVILLE RD, SUITE 12, MASON, OH 45040-1236
(513) 701-3145
(513) 701-3146

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35076823
OH
207Q00000X
Family Medicine Physician
36326
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000530676
ANTHEM BCBS
OH
05
2183686
OH
01
311185270059
HEALTH NET FEDERAL SERVIC
OH
Enumeration date
08/12/2006
Last updated
01/27/2020
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