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Individual

DR. CHARLES AARON MUTSCHLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
18280 W DIXIE HWY, MIAMI, FL 33160-2001
(786) 428-3668
(305) 932-0923
Mailing address
18280 W DIXIE HWY, MIAMI, FL 33160-2001
(786) 428-3668
(305) 932-0923

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2984
FL
213ES0000X
Sports Medicine Podiatrist
PO2984
FL
213ES0131X
Foot Surgery Podiatrist
PO2984
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4935930001
DMERC
01
65789
BCBS
FL
Enumeration date
11/29/2005
Last updated
12/01/2010
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