Healthcare Provider Details

I. General information

NPI: 1235798752
Provider Name (Legal Business Name): MICHELLE DANAE MUNK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2019
Last Update Date: 06/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 E MICHIGAN AVE
LANSING MI
48912-1811
US

IV. Provider business mailing address

1215 E MICHIGAN AVE
LANSING MI
48912-1811
US

V. Phone/Fax

Practice location:
  • Phone: 364-571-0517
  • Fax:
Mailing address:
  • Phone: 517-364-5710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4351045518
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: