| Ernest Mullen MD PC | |
|
19431 Van Dyke St Detroit MI 48234-3393 | |
| (734) 306-2446 | |
| Not Available |
| Full Name | Ernest Mullen MD PC |
|---|---|
| Speciality | Clinic/center |
| Location | 19431 Van Dyke St, Detroit, Michigan |
| Authorized Official Name and Position | Ernest Mullen (PRESIDENT) |
| Authorized Official Contact | 7343062446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ernest Mullen MD PC 18268 Parkshore Dr Northville MI 48168-8588 Ph: (734) 306-2446 | Ernest Mullen MD PC 19431 Van Dyke St Detroit MI 48234-3393 Ph: (734) 306-2446 |
| NPI Number | 1447653977 |
|---|---|
| Provider Enumeration Date | 09/29/2014 |
| Last Update Date | 09/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447653977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4301081357 (Michigan) | Primary |
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