Individual
CHARLES A MUTSCHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18819
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091166600
—
MD
01
—
122047
JOHNS HOPKINS
MD
01
—
1366307
AMERIGROUP
—
01
—
1679630073
FACILITY NPI NUMBER
MD
01
—
283M380F
PTAN, MEDICARE
MD
01
—
396920YQ1R
MEDICARE PTAN
MD
01
—
396920YT8
MEDICARE PTAN
MD
01
—
426681ZBEW
MEDICARE PTAN
MD
01
—
51200024
CAREFIRST
MD
01
—
5398714
AETNA
—
01
—
F7170001
CAREFIRST
MD
01
—
F8710105
CAREFIRST
MD
01
—
P650023224
MEDICARE RR
MD
Enumeration date
06/20/2006
Last updated
10/07/2016
Update your record
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