Individual
MICHAEL H ENTRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-2025
(570) 271-6975
(570) 271-6762
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-2025
(570) 271-6975
(570) 271-6762
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
59948
MA
207L00000X
Anesthesiology Physician
MD13053
RI
207L00000X
Anesthesiology Physician
Primary
MD441677
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025459600001
—
PA
05
—
3039854
—
MA
Enumeration date
09/15/2006
Last updated
08/24/2011
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