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NPI Code Detail

MEDICARE: DR. ROBERT KENNETH MULERT M.D.

MEDICARE: DR. ROBERT KENNETH MULERT 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
12084P0800XPsychiatry PhysicianME43655FL
22084P0800XPsychiatry PhysicianC50790CA

General Provider Information

NPI Number : 1548378714
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT KENNETH MULERT M.D.
Provider Business Mailing Address
First Line : 891 MOUNTAIN RANCH RD
Second Line :
City : SAN ANDREAS
State : CA
Zip : 95249-9713
Country : US
Telephone Number : 209-754-6525
Fax Number : 209-754-6849
Provider Business Practice Location Address
First Line : 891 MOUNTAIN RANCH RD
Second Line :
City : SAN ANDREAS
State : CA
Zip : 95249-9713
Country : US
Telephone Number : 209-754-6525
Fax Number : 209-754-6849
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2006
Last Update Date : 08/10/2009

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