Provider Demographics
NPI:1437206141
Name:MUELLER, MICHAEL J (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:J
Last Name:MUELLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:G3286 BEECHER RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3614
Mailing Address - Country:US
Mailing Address - Phone:810-733-9760
Mailing Address - Fax:810-733-9960
Practice Address - Street 1:G3286 BEECHER RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3614
Practice Address - Country:US
Practice Address - Phone:810-733-9760
Practice Address - Fax:810-733-9960
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2017-04-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301056371208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI020250358OtherBLUE CROSS BLUE SHIELD
MI020250358OtherCOMMUNITY BLUE
MI253104OtherHEALTH ADVANTAGE NETWORK
MI0088200434OtherMETRAHEALTH
MI020250358OtherBLUE CHOICE
MI0980924OtherHEALTH PLUS
MIMEDICAIDOther4580348
MI020250358OtherBLUE CARE NETWORK
MI253104OtherMCLAREN HEALTH PLAN
MI020250358OtherBLUE PREFERRED PLUS
MIC5576OtherMCARE
MI020250358OtherBLUE CHOICE
MI0980924OtherHEALTH PLUS
MI253104OtherMCLAREN HEALTH PLAN