Individual
JOSIE MUNKBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1800 E PARK AVE, STATE COLLEGE, PA 16803-6709
(814) 231-7000
Mailing address
211 ARCHERS GLEN CIR, BELLEFONTE, PA 16823-6458
(501) 442-2509
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD447412
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD447412
STATE MEDICAL LICENSE
PA
Enumeration date
04/06/2009
Last updated
06/10/2015
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