IndividualActive
Ian Munger, IDHS
NPI 1407710759 · Independent Duty Medical Technicians · Selfridge, MI
Provider details
- NPI number
- 1407710759
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- IDHS
- Sex
- Male
- Sole proprietor
- No
Practice location
43401 N Jefferson Ave
Selfridge, MI 48045-5266
Phone: (586) 239-4971
Mailing address
1837 W State Blvd
Fort Wayne, IN 46808-1933
Registry dates
- Enumerated
- 2025-12-11
- Last updated
- 2025-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.