Peter M Muchendu, PA-C
Physician Assistant in Rockford, IL. Individual provider (NPI-1).
NPI number1336588284
StatusActive
Last updated in NPPESJan 3, 2022
Details
- NPI
- 1336588284
- Entity type
- Individual (NPI-1)
- Name
- Peter M Muchendu
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2013
- Last updated
- Jan 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 085004808 | IL | Yes |
Practice location
324 Roxbury RdRockford, IL 61107-5090
Phone 815-381-7431 · Fax 815-381-7333
Mailing address
Po Box 78534Milwaukee, WI 53278-0247
Phone 815-381-7431 · Fax 815-381-7333
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