Individual
MR. MARK P RUNGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
1610 HOOVER ST, NEW HOLSTEIN, WI 53061-1636
(920) 898-5706
Mailing address
1610 HOOVER ST, NEW HOLSTEIN, WI 53061-1636
(920) 898-5706
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2047-154
WA
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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