Individual
MICHAEL LEE MUMERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3801 S NATIONAL AVE, WEST TOWER, SUITE 700, SPRINGFIELD, MO 65807-5210
(417) 885-3888
(417) 881-7638
Mailing address
PO BOX 9434, SPRINGFIELD, MO 65801-9434
(417) 885-3888
(417) 881-7638
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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