Individual
MICHAEL JOHN MUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
33 GAGE DR, HOLLISTER, MO 65672-5862
(417) 334-8300
Mailing address
293 NORMAN RD, KIRBYVILLE, MO 65679-9332
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
113103
NE
363L00000X
Nurse Practitioner
Primary
20211036122
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420103556
—
MO
Enumeration date
02/29/2020
Last updated
10/19/2023
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