Provider Demographics
NPI:1912059643
Name:MUNTEAN, ERNEST MICHAEL (PT, MS, ATC)
Entity Type:Individual
Prefix:MR
First Name:ERNEST
Middle Name:MICHAEL
Last Name:MUNTEAN
Suffix:
Gender:M
Credentials:PT, MS, ATC
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Mailing Address - Street 1:19345 POLLYANNA DR
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-1236
Mailing Address - Country:US
Mailing Address - Phone:248-442-9781
Mailing Address - Fax:
Practice Address - Street 1:24 FRANK LLOYD WRIGHT DRIVE
Practice Address - Street 2:MEDSPORT - 391
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48106-0391
Practice Address - Country:US
Practice Address - Phone:734-930-7400
Practice Address - Fax:734-930-7326
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI2255A2300X
MI55010107722251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Not Answered2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports