Individual
MICHAEL MUNDY WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2215 CANTERWOOD DR, WILMINGTON, NC 28401-7301
(910) 762-4600
(910) 762-9483
Mailing address
2612 SHANDY LN, WILMINGTON, NC 28409-2027
(910) 350-0347
(910) 350-0347
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
24552
NC
207Q00000X
Family Medicine Physician
Primary
24552
NC
207R00000X
Internal Medicine Physician
24552
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-28697
UNITED HEALTHCARE
NC
01
—
85742
BCBS
NC
05
—
8985742
—
NC
01
—
930077032
RAILROAD MEDICARE
NC
01
—
930084661
RAILROAD MEDICARE
NC
01
—
B4560
MEDCOST
NC
05
—
Q24552
—
SC
Enumeration date
06/15/2005
Last updated
08/07/2023
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