Provider Demographics
NPI:1790794154
Name:MULIER, KATHY G (OD)
Entity Type:Individual
Prefix:MS
First Name:KATHY
Middle Name:G
Last Name:MULIER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:6401 UNIVERSITY AVE NE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FRIDLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55432-4341
Mailing Address - Country:US
Mailing Address - Phone:763-572-5710
Mailing Address - Fax:763-571-3008
Practice Address - Street 1:13819 HANSON BLVD NW
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MN
Practice Address - Zip Code:55304-7608
Practice Address - Country:US
Practice Address - Phone:763-572-5710
Practice Address - Fax:763-862-4490
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2012-04-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN2542152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN5885414OtherAETNA
MN115621OtherUCARE MN
MNHP20812OtherHEALTHPARTNERS
MN08F81MUOtherBCBS OF MN
MN2200397OtherMEDICA NUMBER
MN765923OtherAMERICA'S PPO
MN1012433OtherPREFERRED ONE
MN442219800Medicaid
MNU58692Medicare UPIN
MN442219800Medicaid