Provider Demographics
NPI:1861837148
Name:MUELLER, MELISSA ANN (MD)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANN
Last Name:MUELLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 DIVISADERO ST.
Mailing Address - Street 2:PMB 759
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117-2213
Mailing Address - Country:US
Mailing Address - Phone:415-523-5235
Mailing Address - Fax:415-523-5235
Practice Address - Street 1:490 POST ST STE 1701
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-1308
Practice Address - Country:US
Practice Address - Phone:415-523-5235
Practice Address - Fax:415-523-5235
Is Sole Proprietor?:No
Enumeration Date:2013-05-01
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA135625208200000X
IN01083931A208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery