Mueller, Michelle Marie

Mueller, Michelle Marie is an individual health care provider with primary practice located at 216 S Military Ave , Green Bay WI 54303-2498. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Mueller, Michelle Marie can be contacted via phone (920) 494-3384.

Contact Information

Primary practice address
216 S Military Ave Green Bay WI 54303-2498
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2581 Wisconsin

Profile Details

NPI number 1003867961
LBN Legal business name Mueller, Michelle Marie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003867961 NPPES
Wisconsin MEDICAID 38590100

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