Individual
MR. DALE R MUNDWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3610 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49525-2402
(616) 365-1221
(616) 365-9996
Mailing address
7109 17 MILE RD NE, CEDAR SPRINGS, MI 49319-8510
(616) 696-0750
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302022189
MI
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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