Provider Demographics
NPI:1417931866
Name:HUNTER, ALAN F (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:F
Last Name:HUNTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 220
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-0220
Mailing Address - Country:US
Mailing Address - Phone:888-674-0854
Mailing Address - Fax:906-225-3370
Practice Address - Street 1:420 W MAGNETIC ST
Practice Address - Street 2:SUITE ER
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-2711
Practice Address - Country:US
Practice Address - Phone:888-674-0854
Practice Address - Fax:906-225-3370
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301032579208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4301032579OtherMICHIGAN LICENSE NUMBER
MI4795225Medicaid
MIB45892Medicare UPIN