Individual
DR. KEVIN MUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 WALL ST, ANN ARBOR, MI 48105-1912
(734) 764-4190
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301504185
MI
207W00000X
Ophthalmology Physician
MD171711
OR
Other
Enumeration date
06/20/2011
Last updated
08/04/2021
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