Provider Demographics
NPI:1538377668
Name:MULLER, ROBERT LEOPOLD JR (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:LEOPOLD
Last Name:MULLER
Suffix:JR
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:7 DOCK HILL RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17842-8910
Mailing Address - Country:US
Mailing Address - Phone:570-837-2123
Mailing Address - Fax:570-837-2185
Practice Address - Street 1:1500 BROAD ST
Practice Address - Street 2:
Practice Address - City:MONTOURSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17754-8300
Practice Address - Country:US
Practice Address - Phone:570-368-2801
Practice Address - Fax:570-368-0609
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2022-04-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD435903207Q00000X
MN55960207Q00000X
NDPT11331207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1032140590005Medicaid
PA543937F6KOtherMEDICARE