Individual
MICHAEL L MUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4061 INDIAN CREEK PKWY, OVERLAND PARK, KS 66207-4030
(913) 317-7990
(913) 317-7018
Mailing address
901 E. 104TH ST, MAILSTOP 400N, KANSAS CITY, MO 64131
(816) 502-7104
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0428980
KS
207Q00000X
Family Medicine Physician
R1E29
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100387220A
—
KS
Enumeration date
07/11/2006
Last updated
02/23/2018
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