Individual
DR. CHRISTOPHER CARL MUTH
Active
Individual
DR. CHRISTOPHER CARL MUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125:057571
IL
2084N0400X
Neurology Physician
036-143894
IL
2084N0600X
Clinical Neurophysiology Physician
Primary
036-143894
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201311130
—
IN
Enumeration date
05/26/2010
Last updated
01/27/2021
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