Provider Demographics
NPI:1528176625
Name:MUELLER, TERRANCE JOHN (DPM)
Entity type:Individual
Prefix:DR
First Name:TERRANCE
Middle Name:JOHN
Last Name:MUELLER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5427 TELEGRAPH RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63129-3555
Mailing Address - Country:US
Mailing Address - Phone:314-845-0200
Mailing Address - Fax:314-821-3223
Practice Address - Street 1:5427 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63129-3555
Practice Address - Country:US
Practice Address - Phone:314-845-0200
Practice Address - Fax:314-821-3223
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO000714213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist