Individual
ANDREA JUNGWIRTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1211 MINGLEWOOD WAY, ANN ARBOR, MI 48103-3002
(734) 663-2808
(734) 665-6244
Mailing address
1211 MINGLEWOOD WAY, ANN ARBOR, MI 48103-3002
(734) 663-2808
(734) 665-6244
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301029308
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301029308
PHYSICIAN LICENSE
MI
Enumeration date
11/29/2007
Last updated
11/29/2007
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