Individual
MICHAEL R MUELLERLEILE
Active
Individual
MICHAEL R MUELLERLEILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
30582
IA
207RC0000X
Cardiovascular Disease Physician
Primary
30582
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255316444
—
IA
01
—
P00725153
RR MEDICARE AT STL
IA
01
—
P00818172
RR MEDICARE
IA
Enumeration date
12/09/2005
Last updated
11/16/2018
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