Individual
DR. DEAN LEE MUNDHENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 NW RD MIZE RD STE 400, BLUE SPRINGS, MO 64014
(816) 228-9841
(816) 228-8667
Mailing address
205 NW RD MIZE RD STE 400, BLUE SPRINGS, MO 64014
(816) 228-9841
(816) 228-8667
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R7B62
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09141023
BLUE CROSS BLUE SHIELD
MO
01
—
167441
COVENTRY
—
01
—
4536374
AETNA
—
01
—
R7B62
STATE LICENSE NUMBER
MO
Enumeration date
09/14/2006
Last updated
02/16/2022
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