Dr. Kenneth Jerome Mueller III
Sports Medicine Doctor
3240 W Carleton Rd Ste B
Hillsdale
, Michigan 49242-9458
Dr. Kenneth Jerome Mueller III
Sports Medicine Doctor
3240 W Carleton Rd Ste B
Hillsdale
, Michigan 49242-9458
(517) 586-0228
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Dr. Kenneth Jerome Mueller III
- 3240 W Carleton Rd Ste B
- Hillsdale, MI
- Zip : 49242-9458
- Fax : (517) 586-0228
- Phone : (517) 610-5469
Second Address
- Dr. Kenneth Jerome Mueller III
- 3240 W Carleton Rd Ste B
- Hillsdale, MI
- Zip : 49242-9458
- Fax : (517) 586-0228
- Phone : (517) 610-5469
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | 5101024611 | MI |
National Provider Identifier
| NPI | 1780071811 |
|---|---|
| Provider Name | Dr. Kenneth Jerome Mueller III |
| First Address | Hillsdale, MI 49242-9458 |
| Second Address | Hillsdale, MI 49242-9458 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/04/2015 |
| Last Update Date | 13/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.