Individual
MR. MICHAEL J CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1200 PROSPECT STREET, STE 103, SANDUSKY, OH 44870-4793
(419) 626-6006
(419) 626-4038
Mailing address
1200 PROSPECT ST, STE 103, SANDUSKY, OH 44870-3362
(419) 626-6006
(419) 626-4038
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34002087
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0212004
—
OH
Enumeration date
10/13/2005
Last updated
01/05/2012
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