Provider Demographics
NPI:1164523437
Name:MUEHLECK, STEPHEN DRUMHELLER (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:DRUMHELLER
Last Name:MUEHLECK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 S 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-3142
Mailing Address - Country:US
Mailing Address - Phone:509-248-1831
Mailing Address - Fax:509-452-6911
Practice Address - Street 1:401 S 12TH AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3142
Practice Address - Country:US
Practice Address - Phone:509-248-1831
Practice Address - Fax:509-452-6911
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00020638207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8639403Medicaid
WAMD00020638OtherLICENSE
000199206Medicare ID - Type Unspecified
WAMD00020638OtherLICENSE