| NPI | 1124159686 |
|---|---|
| Former Legal Business Name | HARRY M HUMENIUK MD |
| Entity Type | Organization |
| Authorized Contact | HARRY MICHAEL HUMENIUK Owner, President 419-886-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: OH 35061843) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34007965B) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-10-16 |