Individual
MICHAEL LEE MUMERT
Active
Individual
MICHAEL LEE MUMERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
2014014734
MO
207T00000X
Neurological Surgery Physician
71485131205
UT
207T00000X
Neurological Surgery Physician
E-10655
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1805063
THE AMERICAN BOARD OF NEUROLOGICAL SURGERY
—
Enumeration date
11/09/2008
Last updated
10/04/2021
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