Individual
MARK CONRAD MUETTERTIES
Active
Individual
MARK CONRAD MUETTERTIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD10743
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7057902
—
RI
01
—
U400167716
MEDICARE NGS
RI
Enumeration date
04/26/2006
Last updated
06/04/2015
Update your record
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