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Individual

MICHAEL R HONNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4160 TUDOR CENTRE DR, ANCHORAGE, AK 99508-5901
(907) 729-6361
Mailing address
4201 TUDOR CENTRE DR, SUITE #320, ANCHORAGE, AK 99508-5904
(907) 729-6350
(907) 729-8607

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CM9503
AK
Enumeration date
05/03/2007
Last updated
09/17/2012
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