Individual
MICHAEL R MUELLERLEILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, DEPARTMENT OF CARDIOLOGY, IOWA CITY, IA 52242-1009
(319) 353-7428
(319) 353-6343
Mailing address
200 HAWKINS DR, DEPARTMENT OF CARDIOLOGY, IOWA CITY, IA 52242-1009
(319) 353-7428
(319) 353-6343
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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