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Individual

SUSAN A MUHLBAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
311 S CLARK ST, CARROLL, IA 51401-3038
(712) 792-3581
(712) 794-1751
Mailing address
311 S CLARK ST, CARROLL, IA 51401-3038
(712) 792-3581
(712) 794-1751

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
T074863
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
IA
Enumeration date
05/12/2006
Last updated
07/25/2008
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