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Individual

DR. STEPHEN V MUELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
180 S 3RD ST, SUITE 200, BELLEVILLE, IL 62220-1952
(618) 233-0017
(618) 233-0251
Mailing address
180 S 3RD ST, SUITE 200, BELLEVILLE, IL 62220-1952
(618) 233-0017
(618) 233-0251

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
036048229
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036048229
IL
01
0707048
UHC MEDICARE COMPLETE
IL
01
105592
ALLIANCE BC/BS
IL
01
244403684
GROUP HEALTH PLAN
IL
01
821512
BC/BS
IL
Enumeration date
06/06/2006
Last updated
03/19/2008
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