Individual
MS. MARY ANN MUNDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1825 N PROSPECT AVE, MILWAUKEE, WI 53202-1933
(414) 298-8600
Mailing address
1825 N PROSPECT AVE, MILWAUKEE, WI 53202-1933
(414) 298-8600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
112700-30
WI
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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