Individual
MUNA SUNNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBBCH
Contact information
Practice address
516 DELAWARE ST SE, MMC 8404, 13-124 PHILLIPS WANGENSTEEN BUILDING, MINNEAPOLIS, MN 55455-0356
(612) 624-5409
(612) 626-5262
Mailing address
2450 RIVERSIDE AVE, EAST BLDG, RM MB671, MINNEAPOLIS, MN 55436
(612) 624-5409
(612) 626-5262
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
002802
GA
208000000X
Pediatrics Physician
Primary
52714
MN
390200000X
Student in an Organized Health Care Education/Training Program
52714
MN
Other
Enumeration date
08/20/2007
Last updated
07/19/2013
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