Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | OS017883 | PA |
N | 207XS0117X | Orthopaedic Spine Surgeon | 3084 | WV |
NPI | 1184912719 |
---|---|
Provider Name | Dr. Michael Paul St. Onge |
First Address | Lancaster, PA 17601-6823 |
Second Address | Lancaster, PA 17601-6823 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2011 |
Last Update Date | 25/07/2017 |