Provider Demographics
NPI:1811158827
Name:MUELLER, DONNA M (DO)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:M
Last Name:MUELLER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:462 FRONT STREET
Mailing Address - Street 2:
Mailing Address - City:HELLERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18055-1708
Mailing Address - Country:US
Mailing Address - Phone:215-850-6044
Mailing Address - Fax:
Practice Address - Street 1:462 FRONT STREET
Practice Address - Street 2:
Practice Address - City:HELLERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18055-1708
Practice Address - Country:US
Practice Address - Phone:215-850-6044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT011952204D00000X
PAOS016075204D00000X
NJ25MB12319000204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMMGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103533954Medicaid