Physician Compare National (NPI:1326165259)

HEALTHCARE PROVIDER: ELIZABETH A. L. MUENNICH M.D. PH.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1326165259
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5799810719
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100316000871
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MUENNICH
	Individual professional last name
Provider First Name	ELIZABETH
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	DERMATOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	DERMATOLOGY AND SKIN CARE ASSOCIATES LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0244365260
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	5160 SOCIALVILLE FOSTER RD
	Group Practice or individual's line 1 address
City	MASON
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	450409842
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5137703263
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y