Provider Demographics
NPI:1285639997
Name:MUELLER, WILLIAM K (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:K
Last Name:MUELLER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:370 FAUNCE CORNER ROAD
Mailing Address - Street 2:SOUTHCOAST PHYSICIAN SERVICES, INC.
Mailing Address - City:NORTH DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747
Mailing Address - Country:US
Mailing Address - Phone:508-985-2000
Mailing Address - Fax:508-985-2001
Practice Address - Street 1:363 HIGHLAND AVENUE
Practice Address - Street 2:SOUTHCOAST PHYSICIAN SERVICES, INC.
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720
Practice Address - Country:US
Practice Address - Phone:508-679-7814
Practice Address - Fax:508-679-7881
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2010-03-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA2424362085R0001X
OH35-0474832085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH920005075OtherRR MEDICARE
OH0491794Medicaid
OH0491794Medicaid
OH920005075OtherRR MEDICARE
OHMU0629664Medicare PIN