Provider Demographics
NPI:1144344615
Name:MULLER, WERNER T (PA-C)
Entity type:Individual
Prefix:MR
First Name:WERNER
Middle Name:T
Last Name:MULLER
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:250 PLEASANT ST
Mailing Address - Street 2:MEDICAL STAFF SERVICES OFFICE
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-7539
Mailing Address - Country:US
Mailing Address - Phone:603-227-7000
Mailing Address - Fax:603-228-3307
Practice Address - Street 1:264 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-2551
Practice Address - Country:US
Practice Address - Phone:603-224-3368
Practice Address - Fax:603-224-7815
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2024-01-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH344363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30330877Medicaid
NHP01017Medicare UPIN
NH30330877Medicaid