Individual
DR. MICHELLE MARIE MUELLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
216 S MILITARY AVE, GREEN BAY, WI 54303-2498
(920) 494-3384
Mailing address
216 S MILITARY AVE, GREEN BAY, WI 54303-2498
(920) 494-3384
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2581
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38590100
—
WI
Enumeration date
05/15/2006
Last updated
07/08/2007
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