Organization
JULIE MUELLER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE MUELLER PA-C (OWNER)
(612) 518-5527
Entity
Organization
Contact information
Practice address
436 5TH & TED STEVENS WAY, KOTZBUE, AK 99752-0043
(907) 442-3321
Mailing address
PO BOX 1211, WILSON, WY 83014-1211
(612) 518-5527
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
422
WY
363A00000X
Physician Assistant
Primary
685
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MDA0282
—
AK
Enumeration date
12/16/2011
Last updated
12/16/2011
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