Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | MD18050 | TN |
NPI | 1083603641 |
---|---|
Provider Name | Michael S Muhlbauer |
First Address | Memphis, TN 38120-2300 |
Second Address | Memphis, TN 38120-2300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2005 |
Last Update Date | 21/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3026761 | (05) | TN |
A99059 | (02) |