Mundt, Daniel P

Mundt, Daniel P is an sole proprietor health care provider with primary practice located at 5900 S Lake Dr , Cudahy WI 53110-3171. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Mundt, Daniel P can be contacted via phone (414) 489-9000.

Contact Information

Primary practice address
5900 S Lake Dr Cudahy WI 53110-3171
Phone: (414) 489-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 75101 Wisconsin

Profile Details

NPI number 1053870147
LBN Legal business name Mundt, Daniel P
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2019
Last updated May 26th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053870147 NPPES
Wisconsin MEDICAID 100227564

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