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Individual

JEROME WILLIAM MUELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12400 E MARGINAL WAY S, TUKWILA, WA 98168-2559
(206) 901-7777
Mailing address
732 15TH AVE, SEATTLE, WA 98122-4516

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00023749
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8602682
WA
01
MD00023749
STATE OF WA
WA
Enumeration date
10/04/2007
Last updated
10/08/2009
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