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NPI Code Detail

MEDICARE: JUERGEN J MUELLER M.D.

MEDICARE:   JUERGEN J MUELLER  M.D.
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
1207RG0100XGastroenterology Physician52495MT

Other Identifiers

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

General Provider Information

NPI Number : 1376636043
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUERGEN J MUELLER M.D.
Provider Business Mailing Address
First Line : 75 CLAREMONT ST STE F
Second Line :
City : KALISPELL
State : MT
Zip : 59901-3500
Country : US
Telephone Number : 406-752-7441
Fax Number : 406-257-0304
Provider Business Practice Location Address
First Line : 75 CLAREMONT ST STE F
Second Line :
City : KALISPELL
State : MT
Zip : 59901-3500
Country : US
Telephone Number : 406-752-7441
Fax Number : 406-257-0304
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 07/21/2022

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