Basic Information
| Provider Information | |||||||||
| NPI: | 1275584617 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MULDER | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | DOUGLAS | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | HUTCHINSON AREA HEALTH CARE | ||||||||
| Address2: | 1095 HIGHWAY 15 SOUTH | ||||||||
| City: | HUTCHINSON | ||||||||
| State: | MN | ||||||||
| PostalCode: | 55350 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3202345000 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | HUTCHINSON AREA HEALTH CARE | ||||||||
| Address2: | 1095 HIGHWAY 15 SOUTH | ||||||||
| City: | HUTCHINSON | ||||||||
| State: | MN | ||||||||
| PostalCode: | 55350 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3202345000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/12/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 25464 | MN | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
ID Information
| ID | Type | State | Issuer | Description | 39-49640 | 01 | MN | MEDICA - ER | OTHER | 13Q39MU | 01 | MN | BCBS - ER | OTHER | HO14016 | 01 | MN | HEALTH PARTNERS - ER | OTHER |