Individual
CONNOR MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4029 AVE MARIA DRIVE, LOBBY A, SUITE 1200, ANN ARBOR, MI 48105
(734) 998-6022
Mailing address
1500 E MEDICAL CENTER DRIVE, 2130 TAUBMAN CENTER, SPC 5340, ANN ARBOR, MI 48109
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351046235
MI
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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