Michael Thomas Jung
Orthopaedic Surgery in Wilkes Barre, PA. Individual provider (NPI-1).
NPI number1730575010
StatusActive
Last updated in NPPESOct 5, 2021
Details
- NPI
- 1730575010
- Entity type
- Individual (NPI-1)
- Name
- Michael Thomas Jung
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2015
- Certification date
- Oct 5, 2021
- Last updated
- Oct 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MD475236 | PA | Yes |
| 207X00000X | Orthopaedic Surgery | A168279 | CA |
Practice location
1175 E Mountain BlvdWilkes Barre, PA 18702-7906
Phone 570-808-1093 · Fax 570-808-7878
Mailing address
100 N Academy AveDanville, PA 17822-4903
Phone 570-271-6144 · Fax 570-271-6578
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