Individual
DANA BUNGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11060 UPPER 167TH ST W, LAKEVILLE, MN 55044
(952) 693-3838
Mailing address
11060 UPPER 167TH ST W, LAKEVILLE, MN 55044
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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