Individual
MERLE HENRY MULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
612 N 11TH ST, QUINCY, IL 62301-2662
(217) 224-9484
(217) 224-7950
Mailing address
612 N 11TH ST, QUINCY, IL 62301-2662
(217) 224-9484
(217) 224-7950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-070099
IL
207QS0010X
Sports Medicine (Family Medicine) Physician
036-070099
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016170
—
IA
05
—
036070099
—
IL
01
—
080133122
PALMETTO
—
Enumeration date
12/07/2005
Last updated
05/19/2016
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