Individual
MR. MICHAEL ROY LUNDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
N7135 ROCKY KNOLL PKWY, PLYMOUTH, WI 53073-3103
(414) 329-4979
(414) 328-4494
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23814
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30437700
—
WI
Enumeration date
05/04/2006
Last updated
11/03/2025
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