Organization
MICHAEL J JURENOVICH DOPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J JURENOVICH DO (PRES)
(724) 588-4805
Entity
Organization
Contact information
Practice address
59 W MAIN ST STE B, GREENVILLE, PA 16125-2449
(724) 588-4805
(724) 588-4809
Mailing address
59 W MAIN ST STE B, GREENVILLE, PA 16125-2449
(724) 588-4805
(724) 588-4809
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
34.003706
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012030900001
—
PA
Enumeration date
08/13/2006
Last updated
09/19/2025
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