Individual provider · Type 1 NPI

Jeffrey Charles Mundt, NP

Adult Health Nurse Practitioner · Clinton Township, MI

NPI number 1174669808 Active

Practice location

43475 Dalcoma Dr Ste 160
Clinton Township, MI 48038-3591

Mailing address

43475 Dalcoma Dr
Clinton Township, MI 48038-3591

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XA1006121 (MI)

Adult Health Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1174669808

Jeffrey Charles Mundt, NP's National Provider Identifier is 1174669808, issued on Jan 29, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Clinton Township, MI. The record was last updated on Sep 1, 2016.