Individual
DR. EDWARD JAMES MUELLERLEILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4267 W FOND DU LAC AVE, MILWAUKEE, WI 53216-3527
(414) 873-3440
(414) 873-3420
Mailing address
4267 W FOND DU LAC AVE, MILWAUKEE, WI 53216-3527
(414) 873-3440
(414) 873-3420
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36573
WI
2080A0000X
Pediatric Adolescent Medicine Physician
36573
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32466900
—
WI
Enumeration date
02/09/2007
Last updated
11/17/2020
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