Individual
MATTHEW WERNER MUELLENHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
126 GLASSON WAY, GRASS VALLEY, CA 95945-5706
(530) 272-2303
(530) 272-9648
Mailing address
126 GLASSON WAY, GRASS VALLEY, CA 95945-5706
(530) 272-2303
(530) 272-9648
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
20A7904
CA
207NS0135X
Procedural Dermatology Physician
Primary
20A7904
CA
Other
Enumeration date
07/21/2005
Last updated
04/08/2013
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