Individual
DR. JOHN PATRICK MULLALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1117 STONE ST, SUITE 2, PORT HURON, MI 48060
(810) 966-4540
(810) 966-4549
Mailing address
1117 STONE ST, SUITE 2, PORT HURON, MI 48060
(810) 966-4540
(810) 966-4549
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301059921
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0740124
BCBS
MI
01
—
104299
CARE CHOICES
MI
05
—
4352066
—
MI
01
—
G13412
HAP
MI
Enumeration date
09/20/2005
Last updated
10/17/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us