Individual
DANIEL P MUNDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10150 NIAGARA LN N STE 100, MAPLE GROVE, MN 55369-7588
(763) 297-9700
(651) 414-3101
Mailing address
2550 UNIVERSITY AVE W STE 110N, SAINT PAUL, MN 55114-2001
(763) 297-9700
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
75101
WI
207RH0003X
Hematology & Oncology Physician
Primary
78532
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100227564
—
WI
Enumeration date
03/18/2019
Last updated
04/03/2026
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