Provider Demographics
NPI:1215427554
Name:MUELLER, GRACE KATHARINA (MD)
Entity type:Individual
Prefix:DR
First Name:GRACE
Middle Name:KATHARINA
Last Name:MUELLER
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 980257
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23298-0257
Mailing Address - Country:US
Mailing Address - Phone:804-828-9783
Mailing Address - Fax:804-828-2435
Practice Address - Street 1:1213 E CLAY ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5071
Practice Address - Country:US
Practice Address - Phone:804-828-9964
Practice Address - Fax:804-828-6662
Is Sole Proprietor?:No
Enumeration Date:2018-05-11
Last Update Date:2024-07-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101272160208000000X, 2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics