Dr Jacqueline Allen Wunderly, MD is a
Obstetrics & Gynecology physician based in Richland, Michigan. Dr Jacqueline Allen Wunderly is licensed to practice in Michigan (license number 4301049069) and her current practice location is 10814 S Interlaken, Richland, Michigan. She can be reached at her office (for appointments etc.) via phone at
(269) 629-5231.
NPI number for Dr Jacqueline Allen Wunderly is 1205039070 and her current mailing address is 10814 S Interlaken, Richland, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205039070.
Physician's Profile
Full Name | Dr Jacqueline Allen Wunderly |
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Gender | Female |
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Speciality | Obstetrics & Gynecology |
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Location | 10814 S Interlaken, Richland, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205039070
- Provider Enumeration Date: 06/07/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Jacqueline Allen Wunderly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205039070 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 4301049069 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jacqueline Allen Wunderly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jacqueline Allen Wunderly, MD 10814 S Interlaken, Richland, MI 49083-8514 Ph: (269) 629-5231 | Dr Jacqueline Allen Wunderly, MD 10814 S Interlaken, Richland, MI 49083-8514 Ph: (269) 629-5231 |
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