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Individual
SAMANTHA MULLAN
Active
Individual
SAMANTHA MULLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
01088094A
IN
207VM0101X
Maternal & Fetal Medicine Physician
2018011076
MO
207VM0101X
Maternal & Fetal Medicine Physician
Primary
35.141231
OH
207VM0101X
Maternal & Fetal Medicine Physician
55023
KY
Other
Enumeration date
04/30/2014
Last updated
09/12/2022
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