John Patrick Mullally MD

NPI 1033105630 - Family Medicine - 207Q00000X

NPI Details
NPI 1033105630
Gender Male
Enumeration Date 09/20/2005
Last Updated 10/17/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1117 STONE ST
SUITE 2
PORT HURON MI, 48060, US
Phone (810) 966-4540
Fax (810) 966-4549
Business Location
1117 STONE ST
SUITE 2
PORT HURON MI, 48060, US
Phone (810) 966-4540
Fax (810) 966-4549
Toxanomy
Taxonomy Code 207Q00000X
License State Michigan
License Number 4301059921
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According to our database, Dr. John Patrick Mullally MD NPI is 1033105630, taxonomy code is 207Q00000X and license number is 4301059921, license state is located at Michigan. John Patrick Mullally MD physically located at 1117 Stone St, Port Huron MI, 48060. NPI Number John Patrick Mullally MD has the Individual type.

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1033105630 NPI number is provided on an as is basis without warranty of any kind. 1033105630 is maintained by the National Plan & Provider Enumeration System. The contents of John Patrick Mullally MD are for informational purposes only.