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Individual
ROSS MUNDINGER
Active
Individual
ROSS MUNDINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038012616
IL
111N00000X
Chiropractor
Primary
5101-12
WI
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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