Individual
MRS. BONNIE LISLE MULLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
823 S 17TH ST, CLARINDA, IA 51632-2625
(712) 542-8330
(712) 542-3373
Mailing address
707 COUNTRY CLUB DR, CLARINDA, IA 51632-1072
(712) 542-5907
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
983
IA
Other
Enumeration date
05/27/2006
Last updated
07/08/2007
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