SearchMichiganIndependent Duty Medical Technicians

Ian Munger, IDHS

NPI 1407710759 · on the registry since 2025

Practice

Address
43401 N Jefferson Ave
Selfridge, MI 48045
Phone
(586) 239-4971
Organisation at this address
Uscg Detroit Pharmacy
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Independent Duty Medical Technicians
1710I1003X
Sex
Male
Record last updated
2025-12-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan