Individual
JOANN P BUNCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
220 W ELLSWORTH ST, MIDLAND, MI 48640-5194
(989) 832-6663
(989) 832-6628
Mailing address
220 W ELLSWORTH ST, MIDLAND, MI 48640-4297
(989) 832-6663
(989) 832-6628
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704101545
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704101545
STATE LICENSE
MI
Enumeration date
08/28/2012
Last updated
08/28/2012
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