Individual
DR. JOSEPH H MUNNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1950 SAINT CHARLES ST, SUITE 4, JASPER, IN 47546-2254
(812) 482-9555
(812) 482-9073
Mailing address
PO BOX 1028, JASPER, IN 47547-1028
(812) 996-8478
(812) 996-8497
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
010137890A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000109069
ANTHEM
—
05
—
100338290
—
IN
Enumeration date
05/02/2006
Last updated
02/07/2017
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