Individual
EARLE C MUNNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
808 12TH ST E, WABASHA, MN 55981-1718
(817) 455-6927
Mailing address
808 12TH ST E, WABASHA, MN 55981-1718
(817) 455-6927
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49574
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
437480000
—
MN
Enumeration date
03/09/2006
Last updated
09/24/2018
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