Individual
DR. MICHAEL J. HYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
305 W JACKSON ST STE 303, CARBONDALE, IL 62901-1474
(618) 351-9300
Mailing address
PO BOX 749267, LOS ANGELES, CA 90074-9267
(818) 843-1700
(818) 843-0380
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036.144605
IL
208800000X
Urology Physician
A79203
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00647444
MEDICARE RR
CA
Enumeration date
10/12/2005
Last updated
03/17/2018
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