Individual
JOSEPH MULLALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7575 GRAND RIVER RD STE 209, BRIGHTON, MI 48114-9379
(810) 844-7950
Mailing address
6401 BURTCH RD, JEDDO, MI 48032-2720
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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