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Individual

MELANIE HUNGLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
7759 UNIVERSITY DR, SUITE G, WEST CHESTER, OH 45069-6578
(513) 721-7373
(513) 977-4253
Mailing address
237 WILLIAM HOWARD TAFT, PHYS DIV, 2ND FL, CBO2-3, ATTN: CREDENTIALING, CINCINNATI, OH 45219
(513) 263-8571
(513) 366-4480

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50001734
OH
363AS0400X
Surgical Physician Assistant
50001734
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0068585
MEDICAID
OH
01
1447371737
MEDICAL MUTUAL
OH
01
1632131
GATEWAY HEALTH
OH
01
270577733079
CARESOURCE
OH
01
610902
WELLCARE
OH
01
720614
ANTHEM
OH
01
779386/713428
BUCKEYE MEDICAID/MEDICARE
OH
01
9720708
AETNA
OH
01
H021220
MEDICARE
OH
01
P01238565
RAILROAD MEDICARE
OH
Enumeration date
04/27/2009
Last updated
02/10/2015
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