Individual
SHINY SUSAN KUNJUMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 DELHI ST STE 3500, DUBUQUE, IA 52001-6321
(563) 557-5911
Mailing address
1515 DELHI ST STE 100, DUBUQUE, IA 52001-6320
(563) 557-9111
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301069698
MI
208000000X
Pediatrics Physician
Primary
44047
IA
Other
Enumeration date
06/03/2006
Last updated
05/09/2018
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