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Individual

FRED MUHLETALER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME123767
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1130811
CAREPLUS
FL
01
1233328
WELLCARE
FL
01
14386
DIMENSION HEALTH
FL
01
5064999
AETNA
FL
01
P01596393
RR MEDICARE
FL
01
P1033151
FREEDOM
FL
01
P969344
OPTIMUM
FL
01
RPK0T
BCBS
FL
Enumeration date
05/24/2007
Last updated
01/24/2017
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