Individual
DR. JOHN M MUELLERLEILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
121 W MAIN ST, OWATONNA, MN 55060-2970
(507) 451-5800
(507) 451-4884
Mailing address
P.O. BOX 412, OWATONNA, MN 55060-0412
(507) 451-5800
(507) 451-4884
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
LD1524000
MN
152WC0802X
Corneal and Contact Management Optometrist
Primary
LD1524000
MN
Other
Enumeration date
06/22/2005
Last updated
01/23/2008
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