Basic Information
Provider Information
NPI: 1033596762
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MUELLER
FirstName: CATHERINE
MiddleName: L
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
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OtherLastNameType:  
Mailing Information
Address1: 1 MEDICAL CENTER DR
Address2:  
City: LEBANON
State: NH
PostalCode: 037560001
CountryCode: US
TelephoneNumber: 6036508380
FaxNumber:  
Practice Location
Address1: 1 MEDICAL CENTER DR
Address2: DHMC DEPARTMENT OF INTERNAL MEDICINE
City: LEBANON
State: NH
PostalCode: 037561000
CountryCode: US
TelephoneNumber: 6036505000
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/01/2015
LastUpdateDate: 03/06/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/06/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207R00000X20028NHY Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XMD22038MEN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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