Individual
DR. MICHAEL BRYAN MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
118 S 12TH ST, MOUNT VERNON, WA 98274-4036
(360) 336-2178
(360) 336-1995
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
1174029078
KY
207Y00000X
Otolaryngology Physician
Primary
MD61425983
WA
Other
Enumeration date
04/01/2018
Last updated
08/23/2023
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