Individual
DR. MICHAEL BRIAN HUMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2349 RUSSELLVILLE RD, BOWLING GREEN, KY 42101-3986
(270) 781-3387
Mailing address
891 E 10TH AVE, BOWLING GREEN, KY 42101-2319
(270) 847-9828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36091
TN
207R00000X
Internal Medicine Physician
Primary
42900
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100084190
—
KY
Enumeration date
05/08/2007
Last updated
08/18/2016
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