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Individual

KURT MUELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
7007 POWERS BLVD, PARMA, OH 44129-5437
(440) 743-4000
Mailing address
9390 RIDGEVIEW DR, MACEDONIA, OH 44056-1355

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN184484
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000221230
UNISON
OH
01
000000516001
ANTHEM
OH
01
0583328
BCMH
OH
05
2387242
OH
01
377456
ANTHEM BCBS
OH
01
415012
WELLCARE MEDICAID
OH
01
7019398
AETNA
OH
01
749651
BUCKEYE MEDICAID
OH
01
P00402013
MEDICARE RAILROAD
OH
Enumeration date
04/08/2006
Last updated
05/19/2008
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