Individual
PRUDENCE H MUNGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
526 W GENESEE ST, FRANKENMUTH, MI 48734-1357
(810) 280-6641
Mailing address
2034 ALGONAC DR, FLINT, MI 48532-4505
(810) 280-6641
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1814
SC
111N00000X
Chiropractor
2256
OH
111N00000X
Chiropractor
Primary
2301006150
MI
111N00000X
Chiropractor
4219
KY
111N00000X
Chiropractor
5165
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730111303
CHIROPRACTIC
MI
01
—
350
MEDICARE RAILROAD PROVIDE
GA
01
—
35ZCDSH
MEDICARE PROVIDER
GA
Enumeration date
08/12/2007
Last updated
10/04/2021
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