Provider Demographics
NPI:1912988056
Name:MUHLER, JOSEPH C II (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:C
Last Name:MUHLER
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3534 BROOKLYN AVE
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46809-1361
Mailing Address - Country:US
Mailing Address - Phone:260-747-6171
Mailing Address - Fax:260-478-5125
Practice Address - Street 1:3534 BROOKLYN AVE
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46809-1361
Practice Address - Country:US
Practice Address - Phone:260-478-5170
Practice Address - Fax:260-478-5145
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01026860A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN080121949OtherRAILROAD MEDICARE
1615OtherPHYSICIANS HEALTH PLAN
000000091877OtherBLUE CROSS BLUE SHIELD
000000000830OtherMPLAN
IN100318080Medicaid
IN080121949OtherRAILROAD MEDICARE
INM400048080Medicare PIN
000000000830OtherMPLAN
D67792Medicare UPIN