Individual
MICHAEL FREDERICK BAHNTGE
Active
Individual
MICHAEL FREDERICK BAHNTGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35048477B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000276513
ANTHEM
—
01
—
0119204
GROUP MEDICAID
—
01
—
0501231
UNITED HEALTHCARE
—
05
—
0587931
—
OH
01
—
103647
KAISER
—
01
—
11046868
CAQH
—
01
—
130026262
RR MEDICARE INDIVIDUAL
—
01
—
1780634279
GROUPNPI
—
01
—
341783789031
CARESOURCE
—
01
—
3610861
GROUP ASC MEDICARE
—
01
—
4326122
AETNA
—
01
—
9273172
GROUP MEDICARE
—
01
—
C78477
SUMMACARE APEX
—
01
—
CA4511
RR MEDICARE GROUP
—
01
—
D368301
GROUP IND DIAGNOSTICS MED
—
Enumeration date
02/27/2006
Last updated
09/23/2018
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