Individual
JOHN MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13195 WEAVER LAKE RD, MAPLE GROVE, MN 55369-9410
(763) 420-5112
Mailing address
13195 WEAVER LAKE RD, MAPLE GROVE, MN 55369-9410
(763) 420-5112
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3465
MN
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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