Organization
HARRY M HUMENIUK MD INC
Active
Other names
HARRY M HUMENIUK MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRY MICHAEL HUMENIUK M.D. (OWNER, PRESIDENT)
(419) 886-7546
Entity
Organization
Contact information
Practice address
4935 HARROUN RD, SYLVANIA, OH 43560-2107
(419) 885-7546
(419) 882-4969
Mailing address
4935 HARROUN RD, SYLVANIA, OH 43560-2107
(419) 885-7546
(419) 882-4969
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
35061843
OH
207Q00000X
Family Medicine Physician
34007965B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB8422
RAILROAD MEDICARE
OH
Enumeration date
03/08/2007
Last updated
10/16/2007
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