Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0117X | Orthopaedic Spine Surgeon | 44156 | KY |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 50919 | MN |
NPI | 1386838951 |
---|---|
Provider Name | Dr. Benjamin Mueller |
First Address | Golden Valley, MN 55422-4840 |
Second Address | Fridley, MN 55432-1847 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2007 |
Last Update Date | 11/03/2021 |