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General NPI Number Information
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NPI Number | 1144369935
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Entity Type | Individual
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Provider Name | TRASKE MCNEIL MUIR M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 4500 HOSPITAL BLVD STE 230
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City | ROSWELL
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State | GA
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Zip | 30076-0001
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Country | US
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Telephone | 470-956-4560
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Fax | 770-475-8968
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Provider Business Mailing Address
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Address Line | PO BOX 100253
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City | ATLANTA
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State | GA
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Zip | 30384-0253
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Country | US
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Telephone | 801-568-5972
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Fax | 844-249-1746
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 83467
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD217933
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 8499823-1205
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License Number State | UT
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Taxonomy #4
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | 8499823-1205
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License Number State | UT
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Taxonomy #5
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 103547
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License Number State | GA
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