Munn, John S

Munn, John S is an individual health care provider with primary practice located at 1815 Henson Ave , Kalamazoo MI 49048-1510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Munn, John S can be contacted via phone (269) 492-6500.

Contact Information

Primary practice address
1815 Henson Ave Kalamazoo MI 49048-1510
Fax: (269) 492-6461
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 4301056681 Michigan

Profile Details

NPI number 1700841459
LBN Legal business name Munn, John S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Apr 12th, 2011 - about 13 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 1700841459 NPPES
Michigan MEDICAID 1700841459
Michigan Other P53176
Michigan Other 1417961137
Michigan Other 4048846
Michigan MEDICAID 3416614-10

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