Individual
ROBERT FB MULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3909 NEW VISION DR, FORT WAYNE, IN 46845-1725
(260) 469-6602
(260) 969-3065
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01068265A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000721089
ANTHEM
IN
05
—
201019610
—
IN
01
—
P00984505
RR MEDICARE
IN
Enumeration date
06/08/2008
Last updated
10/20/2022
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