Individual
SIMONE MULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 E LARSON LN, OAK CREEK, WI 53154-5178
(414) 852-7588
Mailing address
222 E LARSON LN, OAK CREEK, WI 53154-5178
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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