Individual
RANDALL S MUIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5151009808
MI
207RN0300X
Nephrology Physician
Primary
5101024624
MI
Other
Enumeration date
04/22/2014
Last updated
06/27/2019
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