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Individual
DR. BRETTON MULARSKI
Active
Individual
DR. BRETTON MULARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
132298
IL
207R00000X
Internal Medicine Physician
264098
NY
208M00000X
Hospitalist Physician
Primary
036132298
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036132298
—
IL
01
—
206147
MEDICARE (GROUP) PTAN
IL
01
—
F400092034
MEDICARE (INDIVIDUAL) PTAN
IL
Enumeration date
03/19/2010
Last updated
01/11/2018
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