Individual
DONNA J MUMERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1900 CENTRACARE CIRCLE, #1450, CENTRACARE CLINIC - PLAZA - FAMILY MEDICINE, ST CLOUD, MN 56303-5000
(320) 229-4917
Mailing address
1900 CENTRACARE CIRCLE, #1450, CENTRACARE CLINIC - PLAZA - FAMILY MEDICINE, ST CLOUD, MN 56303-5000
(320) 229-4917
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
37828
IA
207Q00000X
Family Medicine Physician
Primary
49196
MN
207Q00000X
Family Medicine Physician
7421
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-24227
MEDICA
MN
01
—
550G7MU
BLUE CROSS BLUE SHEILD
MN
01
—
HP69862
HEALTH PARTNERS
MN
Enumeration date
08/10/2006
Last updated
03/07/2023
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