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Individual

DR. MICHAEL JAMES MUNLY

Active
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Individual

DR. MICHAEL JAMES MUNLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
171532
OR
208C00000X
Colon & Rectal Surgery Physician
Primary
MD171532
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2024806
WA
05
500656111
OR
Enumeration date
04/20/2009
Last updated
11/07/2024
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