| Harry M Humeniuk Md Inc | |
|
4935 Harroun Rd Sylvania OH 43560-2107 | |
| (419) 885-7546 | |
| (419) 882-4969 |
| Full Name | Harry M Humeniuk Md Inc |
|---|---|
| Speciality | Dermatology - Mohs-micrographic Surgery |
| Location | 4935 Harroun Rd, Sylvania, Ohio |
| Authorized Official Name and Position | Harry Michael Humeniuk (OWNER, PRESIDENT) |
| Authorized Official Contact | 4198867546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harry M Humeniuk Md Inc 4935 Harroun Rd Sylvania OH 43560-2107 Ph: (419) 885-7546 | Harry M Humeniuk Md Inc 4935 Harroun Rd Sylvania OH 43560-2107 Ph: (419) 885-7546 |
| NPI Number | 1124159686 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 10/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124159686 | NPI | - | NPPES |
| DB8422 | Other | OH | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34007965B (Ohio) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 35061843 (Ohio) | Primary |
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