Organization
GEISINGER HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL HUMEN ATC (SUPERVISOR OF SPORT MED. SERVICES)
(570) 820-6086
Entity
Organization
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 820-6086
Mailing address
PO BOX 207, SHOHOLA, PA 18458-0207
(570) 559-7253
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
RT003614
PA
Other
Enumeration date
11/02/2005
Last updated
08/22/2020
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