Individual
DR. MICHAEL EUGENE FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2359 OREGON PIKE STE 102, LANCASTER, PA 17601
(717) 394-3592
(717) 394-5988
Mailing address
2359 OREGON PIKE STE 102, LANCASTER, PA 17601-4676
(717) 394-3592
(717) 394-5988
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS030952L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS030952L
LICENSE
PA
Enumeration date
01/16/2007
Last updated
06/12/2018
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