Individual
DR. MARILYN MACALOS MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4527 BASTOGNE, FORT BRAGG, NC 28310-5110
(832) 443-0721
Mailing address
141 VALLEY BROOK LN, SPRING LAKE, NC 28390-7026
(832) 443-0721
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6405TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609853019
NONE
—
Enumeration date
12/28/2005
Last updated
03/25/2022
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