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NPI Code Detail

MEDICARE: BRIAN L MUEHLBAUER PT

MEDICARE: BRIAN L MUEHLBAUER PT
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
12251S0007XSports Physical Therapist6034WI
22251X0800XOrthopedic Physical Therapist6034WI
3225100000XPhysical Therapist6034WI

General Provider Information

NPI Number : 1396720900
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN L MUEHLBAUER PT
Provider Business Mailing Address
First Line : 2629 N 7TH ST
Second Line :
City : SHEBOYGAN
State : WI
Zip : 53083-4932
Country : US
Telephone Number : 920-451-5634
Fax Number : 920-451-5664
Provider Business Practice Location Address
First Line : 2629 N 7TH ST
Second Line :
City : SHEBOYGAN
State : WI
Zip : 53083-4932
Country : US
Telephone Number : 920-451-5634
Fax Number : 920-451-5664
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2005
Last Update Date : 12/13/2021

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Directions to “ BRIAN L MUEHLBAUER PT” Practice Location

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