Individual
MICHAEL ANTHONY MULLANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2302 WOLFORD CT, NORMAN, OK 73071-4011
(404) 435-0588
Mailing address
2302 WOLFORD CT, NORMAN, OK 73071-4011
(404) 435-0588
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
209812
OK
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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