Individual
DANIEL THOMAS MULADORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPA
Contact information
Practice address
1221 SIXTH ST, SUITE 202, TRAVERSE CITY, MI 49684-2701
(231) 935-5730
Mailing address
1221 SIXTH ST, SUITE 202, TRAVERSE CITY, MI 49684-2701
(231) 935-5730
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006417
MI
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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