Individual
MICHAEL G. HUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12348 OLD TESSON RD, SUITE 160, SAINT LOUIS, MO 63128-2215
(314) 467-3800
Mailing address
2754 MAIN ST, BRIDGEPORT, CT 06606-5308
(203) 275-0210
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
051959
CT
208000000X
Pediatrics Physician
Primary
4014
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200001050A
—
OK
Enumeration date
07/03/2006
Last updated
01/08/2018
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