Individual
GARY JOSEPH MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5007 N ILLINOIS ST, FAIRVIEW HEIGHTS, IL 62208-3419
(618) 235-4357
Mailing address
PO BOX 23617, BELLEVILLE, IL 62223-0617
(618) 235-4357
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.013113
IL
Other
Enumeration date
07/06/2017
Last updated
07/06/2017
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