Provider Demographics
NPI:1639407687
Name:MUHLBAUER, JAN ERIC (MD)
Entity Type:Individual
Prefix:DR
First Name:JAN
Middle Name:ERIC
Last Name:MUHLBAUER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:61 MONROE AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-1311
Mailing Address - Country:US
Mailing Address - Phone:585-586-5166
Mailing Address - Fax:585-586-1370
Practice Address - Street 1:61 MONROE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-1311
Practice Address - Country:US
Practice Address - Phone:585-586-5166
Practice Address - Fax:585-586-1370
Is Sole Proprietor?:No
Enumeration Date:2009-12-03
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY150051-1207ND0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology