Individual
MICHAEL L HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1414 9TH AVE, STATION MEDICAL CENTER, ALTOONA, PA 16602-2454
(814) 946-1655
(814) 949-7616
Mailing address
1414 9TH AVE, STATION MEDICAL CENTER, ALTOONA, PA 16602-2454
(814) 946-1655
(814) 949-7616
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
OS008403L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001464990001
—
PA
Enumeration date
01/05/2006
Last updated
04/20/2012
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