Individual
MICHA WUNNER WUNNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5310 MERCHANDISE DR, FORT WAYNE, IN 46825-5140
(614) 285-9740
Mailing address
5043 ASPEN PINE BLVD, DUBLIN, OH 43016-9336
(614) 285-9740
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
33.025342
OH
225700000X
Massage Therapist
Primary
MT22007212
IN
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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