ANDREW W. MUNDWILER


Address: 25 Michigan St Ne, Suite 6100, Grand Rapids, MI 49503-2515
Phone: 6162677900

ANDREW W. MUNDWILER (NPI# 1265725147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265725147
Entity Type Individual
Full Name ANDREW W. MUNDWILER
Credential MD
Practice Address 25 Michigan St Ne
Suite 6100
Grand Rapids
MI 49503-2515
Mailing Address 100 Michigan St Ne # Mc845
Grand Rapids
MI 49503-2560
Practice Telephone 6162677900
Practice Fax Number 6162677901
Mailing Telephone 6164866790
Mailing Fax Number 6164866702
Enumeration Date 2011-05-25
Last Update Date 2016-07-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0008X Psychiatry & Neurology
Specialization: Neuromuscular Medicine
4301098512 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 25 MICHIGAN ST NE
SUITE 6100
City GRAND RAPIDS
State MI
Zip Code 49503-2515

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639175342 Stephen Christopher Cook Pediatrics 25 Michigan St Ne, Suite 4300, Grand Rapids, MI 49503 2005-06-27
1407412539 Aneta Toma Student in an Organized Health Care Education/Training Program 25 Michigan St Ne, Grand Rapids, MI 49503-2515 2019-05-14
1033673363 Kara Vanderkallen Student in an Organized Health Care Education/Training Program 25 Michigan St Ne, Grand Rapids, MI 49503-2515 2019-01-31
1902391964 Carmen Kagha Family Medicine 25 Michigan St Ne, Grand Rapids, MI 49503-2515 2018-06-22
1700394301 Daniel Jacob Elliott Student in an Organized Health Care Education/Training Program 25 Michigan St Ne, Grand Rapids, MI 49503-2515 2018-01-17
1629585997 Dylan Lee Kosaski Student in an Organized Health Care Education/Training Program 25 Michigan St Ne, Grand Rapids, MI 49503-2515 2018-01-08
1073020343 Rachel Pavona Pharmacy Technician 25 Michigan St Ne, Grand Rapids, MI 49503-2515 2018-01-08
1154842193 Asaf Harris Internal Medicine 25 Michigan St Ne, Suite 2100, Grand Rapids, MI 49503-2526 2017-06-29
1811439763 Danielle Susan Douglass Physician Assistant 25 Michigan St Ne, Suite 6100, Grand Rapids, MI 49503-2515 2016-11-09
1457803751 Anina L Cicerone-carder Physician Assistant 25 Michigan St Ne, Suite 6100, Grand Rapids, MI 49503-2515 2016-11-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801496195 Airway Oxygen, Inc. Durable Medical Equipment & Medical Supplies Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 2020-10-27
1730707282 Adriana Molina-schmuker Counselor 901 Eastern Avenue Ne, Grand Rapids, MI 49503 2020-07-10
1477176949 Kimberly Buskirk Specialist 1131 Ionia Ava Nw, Grand Rapids, MI 49503 2020-05-19
1124647805 Jared Host Speech-Language Pathologist Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 2020-04-13
1265061378 Heather Gladfelter Student in an Organized Health Care Education/Training Program 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 2020-04-02
1194368647 Amy Jo Arends Nurse Practitioner 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 2019-10-28
1376185199 Beth Arce Occupational Therapist 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 2019-10-14
1295387256 Althea Ziolkowski Licensed Practical Nurse Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 2019-07-10
1790340719 Heather Anne Fox Occupational Therapist Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 2019-05-06
1184182883 April L Kaiserlian Social Worker 983 Spaulding Ave Ne, Ada, MI 49503 2019-03-12
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Taxonomy Information

Taxonomy Code 2084N0008X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neuromuscular Medicine

Taxonomy Definition

A neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome).
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548482573 Aiesha Ahmed Psychiatry & Neurology 2750 E Beltline Ave Ne Fl 3, Grand Rapids, MI 49525-8614 2007-05-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114381894 Pranav M Jagtap Psychiatry & Neurology 28050 Grand River Ave, Farmington Hills, MI 48336-5919 2016-04-08
1992170187 Fadi Delly, Md PC Psychiatry & Neurology 2211 Fort St, Wyandotte, MI 48192-4135 2015-12-14
1568707594 Neurology Care Center PC Psychiatry & Neurology 3815 Pelham St, Dearborn, MI 48124-3852 2012-12-03

Competitor

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City GRAND RAPIDS
Zip Code 49503

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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