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Individual

MICHELLE TOWER MUELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0100
(801) 581-8301
Mailing address
PO BOX 413035, SALT LAKE CITY, UT 84141-3035
(801) 213-3900

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
362926-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00142807
RAILROAD MEDICARE
UT
Enumeration date
10/13/2006
Last updated
09/27/2012
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