Individual
EILEEN O MUNDENAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
6200 SHINGLE CREEK PKWY, SUITE 300, BROOKLYN CENTER, MN 55430-2128
(763) 561-5349
(763) 561-7792
Mailing address
6200 SHINGLE CREEK PKWY, SUITE 300, BROOKLYN CENTER, MN 55430-2128
(763) 561-5349
(763) 561-7792
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10221
MN
Other
Enumeration date
12/12/2006
Last updated
03/30/2010
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