Individual
DR. JOSEPH C MULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11141 PARKVIEW PLAZA DR STE 305, FORT WAYNE, IN 46845-1715
(260) 266-8900
(260) 266-8935
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01058823A
IN
208600000X
Surgery Physician
01058823A
IN
2086S0102X
Surgical Critical Care Physician
Primary
01058823A
IN
2086S0127X
Trauma Surgery Physician
01058823A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000775540
ANTHEM PIN TRAUMA
IN
05
—
200462980
—
IN
Enumeration date
11/08/2006
Last updated
10/20/2022
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