Individual
DR. MICHAEL RAE HUNTLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
44753
GA
208200000X
Plastic Surgery Physician
Primary
MD035909E
PA
Other
Enumeration date
12/15/2006
Last updated
03/28/2021
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