Individual
ROBERT G MUTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
661 E ALTAMONTE DR STE 328, ALTAMONTE SPRINGS, FL 32701
(407) 303-5204
(407) 303-5205
Mailing address
661 E ALTAMONTE DR STE 328, ALTAMONTE SPRINGS, FL 32701-5103
(407) 303-5204
(407) 303-5205
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
5101013139
MI
207V00000X
Obstetrics & Gynecology Physician
Primary
OS16256
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4531773
—
MI
05
—
4568586
—
MI
05
—
4831808
—
MI
Enumeration date
07/06/2006
Last updated
12/03/2019
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