Mumal Tunio, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6001686-15 Issued in WI

Practice address

W3275 Wolf River Dr
Keshena, WI 54135-9202

Phone

(715) 799-3361

NPI assigned

Oct 9, 2024

Last updated

Oct 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1790504488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W3275 WOLF RIVER DR",
            "city": "KESHENA",
            "state": "WI",
            "postal_code": "541359202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W3275 WOLF RIVER DR",
            "city": "KESHENA",
            "state": "WI",
            "postal_code": "541359202",
            "telephone_number": "715-799-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNIO",
        "first_name": "MUMAL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6001686-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Rouse
• Amy J. Slagle, M.D.
• St Vincent Hospital-Hospital Sisters-Third Order of St Francis (St. Vincent Hospital-Libertas of Keshena)
• Susan Suski, CSAC
• Kateri Swett
• Neil C Van Rossum, MS, LCSW, CSAC
• Thomas Walczyk, DDS
• Melissa May Wescott, SAC-IT
• Sue C Weso, APNP
• Alexandra Wolf

• General Practice Dentistry in Keshena, WI
• Providers in Keshena, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.