Doctor Name: | MICHAEL W MASNY |
NPI Number: | 1194002550 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 5101019549 |
Business Practice Address: | 8217 Valley Ln Parma, OH - 441307668 |
Business Phone Number: | 4408883293 |
Business Fax Number: | |
Mailing Address: | 142 S Main St, DANVILLE |
State: | VA |
Postal Code: | 245412922 |
Phone Number: | 4347992055 |
Fax Number: | |
NPI Enumeration Date: | 11/12/2011 |
NPI Last Update Date: | 08/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 5101019549 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |