Provider Demographics
NPI:1245285543
Name:ROBERT F. MUNSCH, M.D.
Entity type:Organization
Organization Name:ROBERT F. MUNSCH, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPHTHALMOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:MUNSCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:573-221-7999
Mailing Address - Street 1:109 VIRGINIA ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HANNIBAL
Mailing Address - State:MO
Mailing Address - Zip Code:63401-3778
Mailing Address - Country:US
Mailing Address - Phone:573-221-7999
Mailing Address - Fax:573-221-6052
Practice Address - Street 1:109 VIRGINIA ST
Practice Address - Street 2:SUITE 101
Practice Address - City:HANNIBAL
Practice Address - State:MO
Practice Address - Zip Code:63401-3778
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:2006-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR8745207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOA12162Medicare UPIN