Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 00020304 | AL |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 00020304 | AL |
NPI | 1689600579 |
---|---|
Provider Name | Dr. Maureen A Muecke |
First Address | Birmingham, AL 35216-5784 |
Second Address | Birmingham, AL 35216-5784 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E46818 | (02) |