Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | DI 277555 | FL |
NPI | 1174599245 |
---|---|
Provider Name | Dr. O. Thomas Mueller |
First Address | St Petersburg, FL 33701-4816 |
Second Address | St Petersburg, FL 33701-4816 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2006 |
Last Update Date | 08/07/2007 |