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Organization
MICHAEL A MUNDELL, MD, PROFESSIONAL CORPORATION
Active
Organization
MICHAEL A MUNDELL, MD, PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ALLAN MUNDELL MD (PRESIDENTT)
(707) 291-3193
Entity
Organization
Contact information
Practice address
1400 QUAIL CT, SANTA ROSA, CA 95404-2043
(707) 538-5528
Mailing address
1400 QUAIL CT, SANTA ROSA, CA 95404-2043
(707) 538-5528
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G28146
CA
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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