Provider Demographics
NPI:1518167410
Name:MULLER, MARZENA WIACEK (MD)
Entity Type:Individual
Prefix:DR
First Name:MARZENA
Middle Name:WIACEK
Last Name:MULLER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5700 SOUTHWYCK BLVD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-1509
Mailing Address - Country:US
Mailing Address - Phone:800-288-8325
Mailing Address - Fax:419-866-5453
Practice Address - Street 1:11109 PARKVIEW PLAZA DR
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46845-1701
Practice Address - Country:US
Practice Address - Phone:260-424-2195
Practice Address - Fax:260-266-1679
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-19
Last Update Date:2016-08-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI50926-020207ZP0102X, 207ZC0500X
IN01061409A207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology