MRS. Mary O Wunderlich, PA

NPI #1477856979 in Red Bud, Illinois

Provider Information

NPI Number: 1477856979
Entity Type: Individual
Name: MRS. Mary O Wunderlich, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Dec 6, 2010
Last Updated: Jan 25, 2023

Practice Location

Address: 325 SPRING STREET
City: Red Bud
State: Illinois
ZIP Code: 62278
Phone: (618) 282-3831

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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