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Individual

MARK A MUELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10414 W HIGHWAY 2 STE 10&11, SPOKANE, WA 99224-5348
(509) 838-2531
(509) 755-6580
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0420009985
VT
207Q00000X
Family Medicine Physician
220232
NY
207Q00000X
Family Medicine Physician
Primary
MD60429813
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02065227
NY
05
OVN2178
VT
Enumeration date
07/20/2006
Last updated
01/15/2014
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