Provider Demographics
NPI:1669472015
Name:CHUNE, MICHAEL S (DO, MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:S
Last Name:CHUNE
Suffix:
Gender:M
Credentials:DO, MD
Other - Prefix:
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Mailing Address - Street 1:7847 LOIS CIR APT 118
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-3694
Mailing Address - Country:US
Mailing Address - Phone:937-602-1121
Mailing Address - Fax:937-528-2001
Practice Address - Street 1:2151 STATE ROUTE 725 RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-3814
Practice Address - Country:US
Practice Address - Phone:937-985-1220
Practice Address - Fax:937-528-2001
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-28
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH34005424208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1669472015OtherRAILROAD MEDICARE
OH0864364Medicaid
OH1669472015OtherRAILROAD MEDICARE