Provider Demographics
NPI:1982821252
Name:ROBERT F. MUNSCH, M.D. P.C.
Entity Type:Organization
Organization Name:ROBERT F. MUNSCH, M.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:L
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-221-7999
Mailing Address - Street 1:1 NORTHPORT PLZ
Mailing Address - Street 2:
Mailing Address - City:HANNIBAL
Mailing Address - State:MO
Mailing Address - Zip Code:63401-2269
Mailing Address - Country:US
Mailing Address - Phone:573-221-7999
Mailing Address - Fax:573-221-6052
Practice Address - Street 1:1 NORTHPORT PLZ
Practice Address - Street 2:
Practice Address - City:HANNIBAL
Practice Address - State:MO
Practice Address - Zip Code:63401-2269
Practice Address - Country:US
Practice Address - Phone:573-221-7999
Practice Address - Fax:573-221-6052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1245285543OtherGROUP NPI
MOMDR8745OtherMO LICENSE NUMBER
MO1326087602OtherINDIVUAL NPI OF PHYSICIAN
MO1962441220OtherINDIVUAL NPI PHYSICAIN
MOTO3361OtherMISSOURI LICENSE
MOMDR8745OtherMO LICENSE NUMBER
MOTO3361OtherMISSOURI LICENSE