| Liane Muller, D.o., Pa | |
|
63 Main St Suite A Bridgton ME 04009 | |
| (207) 647-2440 | |
| (207) 647-3775 |
| Full Name | Liane Muller, D.o., Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 63 Main St, Bridgton, Maine |
| Authorized Official Name and Position | Liane Muller (PRESIDENT) |
| Authorized Official Contact | 2076472440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Liane Muller, D.o., Pa Po Box 118 Bridgton ME 04009-0118 Ph: (207) 647-2440 | Liane Muller, D.o., Pa 63 Main St Suite A Bridgton ME 04009 Ph: (207) 647-2440 |
| NPI Number | 1164611703 |
|---|---|
| Provider Enumeration Date | 10/19/2007 |
| Last Update Date | 10/29/2012 |
| Medicare PECOS PAC ID | 4981794955 |
|---|---|
| Medicare Enrollment ID | O20071213000608 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164611703 | NPI | - | NPPES |
| 1127587 | Other | AETNA | |
| 099629 | Other | ANTHEM | |
| 431995900 | Medicaid | ME | |
| I33516 | Other | HARVARD PILGRIM | |
| 5488624 | Other | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1869 (Maine) | Primary |
| Provider Name | Liane M Muller |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1376614842 PECOS PAC ID: 9133156425 Enrollment ID: I20050719000317 |
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