Individual
LYNNETTE A MUNDWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 WEALTHY ST SE, GRAND RAPIDS, MI 49506-2969
(616) 774-7799
(616) 459-7930
Mailing address
1900 WEALTHY ST SE, GRAND RAPIDS, MI 49506-2969
(616) 774-7799
(616) 459-7930
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302030758
MI
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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