Individual
DR. JOHN S MUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1815 HENSON AVE, KALAMAZOO, MI 49048-1510
(269) 492-6500
(269) 492-6461
Mailing address
1815 HENSON AVE, KALAMAZOO, MI 49048-1510
(269) 492-6500
(269) 492-6461
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
4301056681
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417961137
BCBSM - BMH
MI
05
—
1700841459
—
MI
05
—
3416614-10
—
MI
01
—
4048846
AETNA
MI
01
—
P53176
BLUE CARE NETWORK
MI
Enumeration date
04/18/2006
Last updated
04/12/2011
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