Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 35.140021 | OH |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 4301504408 | MI |
NPI | 1326648577 |
---|---|
Provider Name | Dr. William Robert Mundle |
First Address | Tecumseh, ONTARIO N8N2K5 |
Second Address | Windsor, ONTARIO N8X2R3 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2020 |
Last Update Date | 20/07/2021 |