Organization
LIANE MULLER, D.O., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIANE MULLER D.O. (PRESIDENT)
(207) 647-2440
Entity
Organization
Contact information
Practice address
63 MAIN ST, SUITE A, BRIDGTON, ME 04009
(207) 647-2440
(207) 647-3775
Mailing address
PO BOX 118, BRIDGTON, ME 04009-0118
(207) 647-2440
(207) 647-3775
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1869
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099629
ANTHEM
—
01
—
1127587
AETNA
—
05
—
431995900
—
ME
01
—
5488624
CIGNA
—
01
—
I33516
HARVARD PILGRIM
—
Enumeration date
10/19/2007
Last updated
10/29/2012
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