Muellerleile, Edward James
Muellerleile, Edward James is an individual health care provider with primary practice located at 4267 W Fond Du Lac Ave , Milwaukee WI 53216-3527. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Muellerleile, Edward James can be contacted via phone (414) 873-3440.Contact Information
Primary practice address
4267 W Fond Du Lac Ave
Milwaukee WI 53216-3527
Phone: (414) 873-3440
Fax: (414) 873-3420
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 36573 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 36573 | Wisconsin |
Profile Details
| NPI number | 1477694818 |
|---|---|
| LBN Legal business name | Muellerleile, Edward James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2007 |
| Last updated | Nov 17th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477694818 | NPPES |
| Wisconsin | MEDICAID | 32466900 |
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