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Individual

MICHAEL JEFFREY MUEHLENBEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
200 STATE AVE, FARIBAULT, MN 55021-6339
(507) 334-6451
Mailing address
2764 180TH ST E, PRIOR LAKE, MN 55372-2823
(507) 330-3997

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R186320-4
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
104975
MN

Other

Enumeration date
11/24/2014
Last updated
12/18/2014
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