Muellerleile, Edward James

Muellerleile, Edward James is an individual health care provider with primary practice located at 4267 W Fond Du Lac Ave , Milwaukee WI 53216-3527. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Muellerleile, Edward James can be contacted via phone (414) 873-3440.

Contact Information

Primary practice address
4267 W Fond Du Lac Ave Milwaukee WI 53216-3527
Fax: (414) 873-3420
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 36573 Wisconsin
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36573 Wisconsin

Profile Details

NPI number 1477694818
LBN Legal business name Muellerleile, Edward James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Nov 17th, 2020 - about 5 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 1477694818 NPPES
Wisconsin MEDICAID 32466900

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