Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MARY O WUNDERLICH, PA
Active Sole ProprietorMRS. MARY O WUNDERLICH, PA is a Physician Assistant healthcare provider located in RED BUD, Illinois. NPI 1477856979 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · RED BUD, IL
Registration Details
- NPI Number
- 1477856979
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 6, 2010 (15.682661943974 yrs)
- Last Updated
- Jan 25, 2023
- Licenses
-
085-000332 (IL)085000332 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
325 SPRING STREETRED BUD, IL, 62278Browse IL providers · Browse ZIP 62278
- Phone
- 6182823831
- Fax
- 6182825476
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in RED BUD, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. AMBER L HARRIMAN | PA | 1033307996 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.