Individual
CONOR MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
930 BLUE STAR HWY, SOUTH HAVEN, MI 49090-7758
(269) 637-1115
Mailing address
714 N MICHIGAN ST, SOUTH BEND, IN 46601-1035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11017904A
IN
207Q00000X
Family Medicine Physician
Primary
4301113611
MI
Other
Enumeration date
06/18/2014
Last updated
03/17/2018
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