Gerald J Mullan Md Pc

NPI 1033398995 - Ophthalmology - 207W00000X

NPI Details
NPI 1033398995
Enumeration Date 10/29/2007
Last Updated 05/14/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GERALD J GERALD
Position MEDICAL DIRECTOR
Phone (586) 775-1620
Fax (586) 775-7272
Practice Location
21731 GREATER MACK AVE
SAINT CLAIR SHORES MI, 48080-2418, US
Phone (586) 775-1620
Fax (586) 775-7272
Business Location
21731 GREATER MACK AVE
SAINT CLAIR SHORES MI, 48080-2418, US
Phone (586) 775-1620
Fax (586) 775-7272
Toxanomy
Taxonomy Code 207W00000X
License State Michigan
License Number GM028879
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According to our database, Gerald J Mullan Md Pc NPI is 1033398995, taxonomy code is 207W00000X and license number is GM028879, license state is located at Michigan. Gerald J Mullan Md Pc physically located at 21731 Greater Mack Ave, Saint Clair Shores MI, 48080-2418. NPI Number 1033115704 has the healthcare provider type.

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1033398995 NPI number is provided on an as is basis without warranty of any kind. 1033398995 is maintained by the National Plan & Provider Enumeration System. The contents of Gerald J Mullan Md Pc are for informational purposes only.