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NPI Code Detail

MEDICARE: DR. JULIA LYNN MUMPER MD

MEDICARE: DR. JULIA LYNN MUMPER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program4351055602MI

General Provider Information

NPI Number : 1245161314
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIA LYNN MUMPER MD
Provider Business Mailing Address
First Line : 1200 E HOSPITAL DR.
Second Line : D3230
City : ANN ARBOR
State : MI
Zip : 48109
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8001 CHALLIS RD
Second Line :
City : BRIGHTON
State : MI
Zip : 48116-7446
Country : US
Telephone Number : 734-539-5080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

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