Individual
DR. JENNIFER R BUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
221 N CELIA AVE, MUNCIE, IN 47303-4609
(765) 741-2999
(765) 747-3175
Mailing address
221 N CELIA AVE, MUNCIE, IN 47303-4609
(765) 282-8905
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01050873
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080193204
RAILROAD MEDICARE
IN
05
—
200246070
—
IN
Enumeration date
10/20/2005
Last updated
11/07/2017
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