Individual
NICHOLAS PAUL MUELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5841
(763) 780-9155
(763) 236-1066
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10056
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
935617700
—
MN
Enumeration date
10/12/2006
Last updated
03/11/2021
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