Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 5101020891 | MI |
NPI | 1215341599 |
---|---|
Provider Name | Dr. Jamie Mueller-Smith |
First Address | East Lansing, MI 48823-5376 |
Second Address | East Lansing, MI 48823-5376 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2014 |
Last Update Date | 18/09/2016 |