Individual
MICHAEL H CUNNINGHAM SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
842 S COWLEY ST, SUITE 1, 2, 3, SPOKANE, WA 99202-1234
(509) 838-2531
(509) 755-6580
Mailing address
842 S COWLEY ST, SUITE 1, 2, 3, SPOKANE, WA 99202-1234
(509) 838-2531
(509) 755-6580
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD00017784
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175802
—
WA
01
—
50991
L AND I
WA
01
—
P331302
MEDICAID
ID
Enumeration date
12/23/2005
Last updated
08/02/2012
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