Individual
MS. SONJA MAE GUNKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
43247 227TH ST, HENNING, MN 56551-9442
(218) 583-4432
Mailing address
43247 227TH ST, HENNING, MN 56551-9442
(218) 583-4432
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
225430-2
MN
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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