MEDICARE: GEORGE MUENSTER D.O.,INC.

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
1	208C00000X	Colon & Rectal Surgery Physician
2	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306930144
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEORGE MUENSTER D.O.,INC.

Provider Business Mailing Address
First Line	:	29640 EUCLID AVE
Second Line	:
City	:	WICKLIFFE
State	:	OH
Zip	:	44092-1829
Country	:	US
Telephone Number	:	440-585-2221
Fax Number	:	440-585-0249

Provider Business Practice Location Address
First Line	:	29640 EUCLID AVE
Second Line	:
City	:	WICKLIFFE
State	:	OH
Zip	:	44092-1829
Country	:	US
Telephone Number	:	440-585-2221
Fax Number	:	440-585-0249

Authorized Official
Title or Position	:	OWNER
Name	:	DR. GEORGE MUENSTER
Credential	:	D.O.
Telephone Number	:	440-585-2221

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	10/22/2009

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