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Individual

DR. DIEGO JOHN MUILENBURG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
PEACEHEALTH SURGICAL SPECIALITIES, 3355 RIVERBEND DR., SUITE 300, SPRINGFIELD, OR 97477-8800
(541) 222-8333
(541) 222-8320
Mailing address
PEACEHEALTH SURGICAL SPECIALITIES, 3355 RIVERBEND DR., SUITE 300, SPRINGFIELD, OR 97477-8800
(541) 222-8333
(541) 222-8320

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD166758
OR
2086X0206X
Surgical Oncology Physician
53543
AZ
2086X0206X
Surgical Oncology Physician
MD166758
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500675780
OR
Enumeration date
11/09/2005
Last updated
02/28/2024
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