Provider Demographics
NPI:1134313406
Name:HUENING, MICHAEL ANDREW (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ANDREW
Last Name:HUENING
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:PO BOX 14045
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27620-4045
Mailing Address - Country:US
Mailing Address - Phone:919-350-8260
Mailing Address - Fax:919-684-1856
Practice Address - Street 1:3000 NEW BERN AVE
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-1231
Practice Address - Country:US
Practice Address - Phone:919-350-8260
Practice Address - Fax:919-350-8232
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-30
Last Update Date:2019-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC200400883207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology