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NPI Code Detail

MEDICARE: EMMA MUTCHLER

MEDICARE:   EMMA  MUTCHLER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1372500000XChore Provider

General Provider Information

NPI Number : 1154131860
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA MUTCHLER
Provider Business Mailing Address
First Line : 106 7TH AVE S UNIT A
Second Line :
City : PRINCETON
State : MN
Zip : 55371-1728
Country : US
Telephone Number : 763-482-1867
Fax Number :
Provider Business Practice Location Address
First Line : 106 7TH AVE S UNIT A
Second Line :
City : PRINCETON
State : MN
Zip : 55371-1728
Country : US
Telephone Number : 763-482-1867
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2025
Last Update Date : 01/14/2025

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Directions to “ EMMA MUTCHLER ” Practice Location

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