Individual
GARRETT MUHLSTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2002 S 11TH ST, NILES, MI 49120-4074
(269) 687-0200
Mailing address
2002 S 11TH ST, NILES, MI 49120-4074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02007317A
IN
207Q00000X
Family Medicine Physician
Primary
5101027157
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300039759
—
IN
Enumeration date
04/20/2020
Last updated
06/20/2024
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