Individual
MR. MICHAEL EVERETT BUNTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
42806 CLUN LN, BOSCOBEL, WI 53805-8272
(608) 872-2207
Mailing address
42806 CLUN LN, BOSCOBEL, WI 53805-8272
(608) 872-2207
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
302887-031
WI
Other
Enumeration date
12/12/2008
Last updated
12/12/2008
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