Healthcare Provider Details

I. General information

NPI: 1306930144
Provider Name (Legal Business Name): GEORGE MUENSTER D.O.,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 10/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29640 EUCLID AVE
WICKLIFFE OH
44092-1829
US

IV. Provider business mailing address

29640 EUCLID AVE
WICKLIFFE OH
44092-1829
US

V. Phone/Fax

Practice location:
  • Phone: 440-585-2221
  • Fax: 440-585-0249
Mailing address:
  • Phone: 440-585-2221
  • Fax: 440-585-0249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GEORGE MUENSTER
Title or Position: OWNER
Credential: D.O.
Phone: 440-585-2221