Individual
DAN M MULHOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
312 9TH ST SW, WAVERLY, IA 50677-2929
(319) 235-5390
(319) 233-1630
Mailing address
PO BOX 2758, WATERLOO, IA 50704-2758
(319) 235-5390
(319) 287-9249
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
24749
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0725309
—
IA
01
—
25741
WELLMARK HEALTH CARE
IA
01
—
421417307L6
JOHN DEERE HEALTH CARE
—
Enumeration date
01/10/2006
Last updated
10/08/2007
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