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Individual

MICHAEL MUNDAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
5050 POPLAR AVE STE 800, MEMPHIS, TN 38157-0800
(901) 276-2662
Mailing address
5050 POPLAR AVE STE 800, MEMPHIS, TN 38157-0800
(901) 276-2662

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
1726
TN
207RP1001X
Pulmonary Disease Physician
1726
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3320057
TN
Enumeration date
03/12/2007
Last updated
02/17/2020
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