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Organization

FERDINAND J. MUELLER, LTD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN V. MUELLER M.D. (PRESIDENT)
(618) 233-0017
Entity
Organization

Contact information

Practice address
180 S 3RD ST, SUITE 200, BELLEVILLE, IL 62220-1952
(618) 233-0017
(618) 233-0251
Mailing address
180 S 3RD ST, SUITE 200, BELLEVILLE, IL 62220-1952
(618) 233-0017
(618) 233-0251

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
105469
BLUE ADVANTAGE
MO
01
105592
BLUE ADVANTAGE
MO
01
111843
BLUE ADVANTAGE
MO
01
130304
BLUE ADVANTAGE
MO
01
2113V9469
GROUP HEALTH PLAN
MO
01
231290
MEDICARE GROUP
IL
01
2444V9469
GROUP HEALTH PLAN
MO
01
8215125
BC/BS
IL
Enumeration date
09/22/2005
Last updated
02/26/2008
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