Provider Demographics
NPI:1033196233
Name:MUILENBURG, MARK W (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:W
Last Name:MUILENBURG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1000 LINCOLN CIR SE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ORANGE CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51041-1862
Mailing Address - Country:US
Mailing Address - Phone:712-737-2000
Mailing Address - Fax:712-737-2115
Practice Address - Street 1:1000 LINCOLN CIR SE
Practice Address - Street 2:SUITE 100
Practice Address - City:ORANGE CITY
Practice Address - State:IA
Practice Address - Zip Code:51041-1862
Practice Address - Country:US
Practice Address - Phone:712-737-2000
Practice Address - Fax:712-737-2115
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2011-06-01
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Provider Licenses
StateLicense IDTaxonomies
IA27195207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA21480OtherSIOUX VALLEY HEALTH PLAN
IA426038405OtherCIGNA
IA45934OtherBC/BS ER LOCATION
IAE43217OtherCOVENTRY HEALTH CARE
IA231OtherMIDLANDS CHOICE
IA42603840551041OtherWPS TRICARE
IA1048561Medicaid
IA0117578OtherMEDICA
IA426038405OtherEQUITABLE LIFE & CASUALTY
IA6048561Medicaid
IA703361023653OtherPREFERRED ONE
IA0117578OtherUNITED HEALTH CARE
IA03528OtherWELLMARK BC/BS
IA03528OtherFIRST ADMINISTRATORS
IA426038405OtherCONNECTICUT GENERAL
IA03528OtherWELLMARK BC/BS
IA426038405OtherEQUITABLE LIFE & CASUALTY
IA426038405OtherCIGNA