Individual
MATTHEW MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7137 236TH AVE STE 108, SALEM, WI 53168-8975
(262) 843-4643
Mailing address
609 E OKLAHOMA AVE UPPR UNIT, MILWAUKEE, WI 53207-2403
(920) 530-9779
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
600105115
WI
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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