Provider Demographics
NPI:1093970121
Name:MUEHLBAUER, MARCUS (MD, PHD)
Entity Type:Individual
Prefix:
First Name:MARCUS
Middle Name:
Last Name:MUEHLBAUER
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1329 SW 16TH ST SUITE 5251
Mailing Address - Street 2:UNIVERSITY OF FLORIDA
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608
Mailing Address - Country:US
Mailing Address - Phone:919-265-4874
Mailing Address - Fax:
Practice Address - Street 1:1329 SW 16TH ST SUITE 5251
Practice Address - Street 2:UNIVERSITY OF FLORIDA
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608
Practice Address - Country:US
Practice Address - Phone:919-265-4874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-29
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2014-01057207RG0100X
FLME121643207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL013955800Medicaid
FL013955800Medicaid