Individual
BECKY JO MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
12800 ROLLING RIDGE, CENTRACARE CLINIC - BECKER FAMILY MEDICINE, BECKER, MN 55308-8838
(763) 261-7000
(763) 261-7004
Mailing address
12800 ROLLING RIDGE, CENTRACARE CLINIC - BECKER FAMILY MEDICINE, BECKER, MN 55308-8838
(763) 261-7000
(763) 261-7004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46591
MN
207QS0010X
Sports Medicine (Family Medicine) Physician
46591
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0121080
MEDICA HEALTH PLANS
—
01
—
0121081
MEDICA HEALTH PLANS
—
01
—
0121082
MEDICA HEALTH PLANS
—
01
—
1043957
PREFERRED ONE
—
01
—
135113
U CARE
—
01
—
2366395
ARAZ GROUP AMERICAS PPO
—
01
—
550K4MU
BLUE CROSS BLUE SHIELD
—
01
—
819660500
MEDICAL ASSISTANCE
—
01
—
HP53208
HEALTH PARTNERS
—
Enumeration date
11/10/2005
Last updated
08/16/2013
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