Provider Demographics
NPI:1871870337
Name:MUNRO, MICHAEL JAMES (DO)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JAMES
Last Name:MUNRO
Suffix:
Gender:
Credentials:DO
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Mailing Address - Street 1:200 BANNING ST STE 130
Mailing Address - Street 2:HALPERN MEDICAL SERVICES, LLC
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-3486
Mailing Address - Country:US
Mailing Address - Phone:302-450-3025
Mailing Address - Fax:302-990-4441
Practice Address - Street 1:1305 BRIDGEVILLE HWY
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-1616
Practice Address - Country:US
Practice Address - Phone:302-629-6816
Practice Address - Fax:302-990-4333
Is Sole Proprietor?:No
Enumeration Date:2011-11-12
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEDR0010708207W00000X
DEFM5146281207W00000X
OH58.004219390200000X
DEC20011223207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE412305ZM0NMedicare UPIN