Provider Demographics
NPI:1134140338
Name:MICHAEL H CUNNINGHAM, M.D., P.S.
Entity Type:Organization
Organization Name:MICHAEL H CUNNINGHAM, M.D., P.S.
Other - Org Name:INLAND EYE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:HART
Authorized Official - Last Name:CUNNINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:509-624-5300
Mailing Address - Street 1:842 S COWLEY ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-1234
Mailing Address - Country:US
Mailing Address - Phone:509-624-5300
Mailing Address - Fax:509-747-1348
Practice Address - Street 1:842 S COWLEY ST
Practice Address - Street 2:SUITE 1
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-1234
Practice Address - Country:US
Practice Address - Phone:509-624-5300
Practice Address - Fax:509-747-1348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAB09958Medicare ID - Type Unspecified