NPI 1407710759

Ian W Munger, IDHS

Practitioner Independent Duty Medical Technicians Selfridge, MI

Practice location

Address: 43401 N Jefferson Ave, Selfridge, MI 48045-5266
Phone: (586) 239-4971
Mailing address: 1837 W State Blvd, Fort Wayne, IN 46808-1933

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Michigan →

Registry record

NPI: 1407710759
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Dec 2025
Record last updated: 11 Dec 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.