Provider Demographics
NPI:1083933071
Name:PALMER, MICHEAL FRANKLIN
Entity Type:Individual
Prefix:MR
First Name:MICHEAL
Middle Name:FRANKLIN
Last Name:PALMER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:OH
Mailing Address - Zip Code:44822-8923
Mailing Address - Country:US
Mailing Address - Phone:419-566-7820
Mailing Address - Fax:
Practice Address - Street 1:31 5TH AVE
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:OH
Practice Address - Zip Code:44822-8923
Practice Address - Country:US
Practice Address - Phone:419-566-7820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-31
Last Update Date:2010-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver