Individual
BERNARD MUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
524 W CENTRE AVE, PORTAGE, MI 49024-5306
(269) 324-1180
Mailing address
7941 POKAGON RD, BERRIEN CENTER, MI 49102-9006
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703092410
MI
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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