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NPI Code Detail

MEDICARE: JO MARIE ANGELL MUNNICH MD

MEDICARE:   JO MARIE ANGELL MUNNICH  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
1207QA0505XAdult Medicine PhysicianA068332CA
2207Q00000XFamily Medicine PhysicianA68332CA

General Provider Information

NPI Number : 1649227216
Entity Type Code : Individual
Provider Name (Legal Business Name) : JO MARIE ANGELL MUNNICH MD
Provider Business Mailing Address
First Line : 568 5TH AVE APT 2
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94118-3093
Country : US
Telephone Number : 415-794-4423
Fax Number : 415-766-4422
Provider Business Practice Location Address
First Line : 568 5TH AVE APT 2
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94118-3093
Country : US
Telephone Number : 415-794-4423
Fax Number : 415-766-4422
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2006
Last Update Date : 06/28/2023

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Directions to “ JO MARIE ANGELL MUNNICH MD” Practice Location

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