Doctor Name: | JAMIE MUELLER |
NPI Number: | 1215341599 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O |
License Number: | 5101020891 |
Business Practice Address: | 4660 S Hagadorn Rd Ste 500 East Lansing, MI - 488236804 |
Business Phone Number: | 5174326144 |
Business Fax Number: | 5174326150 |
Mailing Address: | 16413 Tres Beau Ln, EAST LANSING |
State: | MI |
Postal Code: | 488239221 |
Phone Number: | 2488756122 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2014 |
NPI Last Update Date: | 06/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 5101020891 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |