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NPI Code Detail

MEDICARE: DR. JOHN MICHAEL MULLER MD

MEDICARE: DR. JOHN MICHAEL MULLER MD
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
1207L00000XAnesthesiology Physician81519-20WI

General Provider Information

NPI Number : 1699336529
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN MICHAEL MULLER MD
Provider Business Mailing Address
First Line : 835 S VAN BUREN ST
Second Line :
City : GREEN BAY
State : WI
Zip : 54301-3526
Country : US
Telephone Number : 262-787-4050
Fax Number :
Provider Business Practice Location Address
First Line : 835 S VAN BUREN ST
Second Line :
City : GREEN BAY
State : WI
Zip : 54301-3575
Country : US
Telephone Number : 262-787-4050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2019
Last Update Date : 03/16/2025

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