Provider Demographics
NPI:1487643581
Name:MUEKSCH, JOSEF N (MD MBA)
Entity Type:Individual
Prefix:
First Name:JOSEF
Middle Name:N
Last Name:MUEKSCH
Suffix:
Gender:M
Credentials:MD MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:344 ROLLING HILL RD
Mailing Address - Street 2:STE 102
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-6865
Mailing Address - Country:US
Mailing Address - Phone:704-464-4439
Mailing Address - Fax:704-664-8802
Practice Address - Street 1:240 HOSPITAL DR NE
Practice Address - Street 2:
Practice Address - City:BOLIVIA
Practice Address - State:NC
Practice Address - Zip Code:28422-8346
Practice Address - Country:US
Practice Address - Phone:910-721-1477
Practice Address - Fax:910-721-1479
Is Sole Proprietor?:No
Enumeration Date:2005-10-20
Last Update Date:2018-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD425214207L00000X
NC200700171207L00000X
NJ25MA08508000207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5914754Medicaid
I39008Medicare UPIN
PA093878Medicare ID - Type Unspecified
NC2076086Medicare PIN