Provider Demographics
NPI:1083601819
Name:MUELLER, JANET G (MD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:G
Last Name:MUELLER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:13001 N OUTER 40 RD
Mailing Address - Street 2:STE 340
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-5941
Mailing Address - Country:US
Mailing Address - Phone:314-454-6444
Mailing Address - Fax:314-454-6445
Practice Address - Street 1:13001 N OUTER 40 RD
Practice Address - Street 2:STE 340
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-5941
Practice Address - Country:US
Practice Address - Phone:314-454-6444
Practice Address - Fax:314-454-6445
Is Sole Proprietor?:No
Enumeration Date:2005-10-06
Last Update Date:2021-11-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO101466208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200038025Medicaid
BM4854762OtherDEA