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Individual

DR. GERHARD H MUNDINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1860 CHADWICK DR, SUITE 256, JACKSON, MS 39204-3463
(601) 376-1934
(601) 376-2005
Mailing address
1860 CHADWICK DR, SUITE 256, JACKSON, MS 39204-3463
(601) 376-1934
(601) 376-2005

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
11122
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00116202
MS
Enumeration date
01/12/2007
Last updated
09/09/2014
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