Individual
IRWIN MULNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., C.C.S.P.
Contact information
Practice address
201 PARK ST., MCCALL, ID 83638-1005
(208) 634-8129
(208) 634-7651
Mailing address
201 PARK ST., PO BOX 1005, MCCALL, ID 83638-1005
(208) 634-8129
(208) 634-7651
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CHIA578
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010019939
BLUE SHIELD,IRWINMULNICK
ID
01
—
C5782
BLUE CROSS, IRWIN MULNICK
ID
Enumeration date
04/09/2007
Last updated
07/09/2007
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