Provider Demographics
NPI:1437266137
Name:WARNER, MICHAEL A (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:A
Last Name:WARNER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1601 MCDANIEL DR
Mailing Address - Street 2:SUITE 50
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-7030
Mailing Address - Country:US
Mailing Address - Phone:484-905-8000
Mailing Address - Fax:484-905-8005
Practice Address - Street 1:1601 MCDANIEL DR
Practice Address - Street 2:SUITE 50
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-7030
Practice Address - Country:US
Practice Address - Phone:484-905-8000
Practice Address - Fax:484-905-8005
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2011-11-14
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Provider Licenses
StateLicense IDTaxonomies
PAMD042357L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA660961HK1Medicare PIN
E77159Medicare UPIN