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Individual
CARISSA MICHELLE BUNKE
Active
Individual
CARISSA MICHELLE BUNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301114961
MI
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
76129
MN
Other
Enumeration date
06/11/2018
Last updated
07/31/2024
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