Individual
JASON ROBERT MUELLECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6125
Mailing address
1067 OTIS BLVD, SPARTANBURG, SC 29302-2154
(801) 664-1398
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
89761
SC
Other
Enumeration date
03/19/2018
Last updated
08/14/2023
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