Individual
DR. MICHAEL KEENE MUHLERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5959 PARK AVE, MPRG, MEMPHIS, TN 38119-5200
(901) 765-3213
(901) 765-1727
Mailing address
5959 PARK AVE, MEMPHIS PHYSICIANS RADIOLOGY PRACTICE GROUP, MEMPHIS, TN 38119-5198
(901) 765-3213
(901) 765-1727
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
042710
TN
2085R0202X
Diagnostic Radiology Physician
19865
MS
2085R0202X
Diagnostic Radiology Physician
E-5336
AR
2085R0204X
Vascular & Interventional Radiology Physician
19865
MS
2085R0204X
Vascular & Interventional Radiology Physician
32039
SC
2085R0204X
Vascular & Interventional Radiology Physician
Primary
42710
TN
2085R0204X
Vascular & Interventional Radiology Physician
E-5336
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12112969
CAQH
—
Enumeration date
04/23/2007
Last updated
01/30/2018
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