Individual
DR. KENNETH JEROME MUELLER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
3240 W CARLETON RD STE B, HILLSDALE, MI 49242-9458
(517) 610-5469
(517) 586-0228
Mailing address
3240 W CARLETON RD STE B, HILLSDALE, MI 49242-9458
(517) 610-5469
(517) 586-0228
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
5101024611
MI
207RS0010X
Sports Medicine (Internal Medicine) Physician
5101024611
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2015
Last updated
10/13/2021
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