Healthcare Provider Details

I. General information

NPI: 1548623465
Provider Name (Legal Business Name): AARON MUHLBAUER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2016
Last Update Date: 06/29/2021
Certification Date: 06/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 MONROE AVE
PITTSFORD NY
14534-1311
US

IV. Provider business mailing address

61 MONROE AVE
PITTSFORD NY
14534-1311
US

V. Phone/Fax

Practice location:
  • Phone: 585-586-5166
  • Fax:
Mailing address:
  • Phone: 585-586-5166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number125.069463
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: