Individual
DR. GREGORY J. MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
94-1480 MOANIANI ST, WAIPAHU, HI 96797-4632
(808) 432-3100
Mailing address
94-1480 MOANIANI ST, WAIPAHU, HI 96797-4632
(808) 432-3100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD-360
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000207332
HMSA BILLING NUMBER
HI
05
—
078594-02
—
HI
Enumeration date
10/04/2006
Last updated
10/15/2007
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