Individual
MS. LINDA MUNDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 ERIN ST, MADISON, WI 53715-1639
(608) 255-0651
Mailing address
1201 ERIN ST, MADISON, WI 53715-1639
(608) 255-0651
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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