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Individual

DANIEL CHARLES MULAWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
15945 CLAYTON RD STE 330, BALLWIN, MO 63011-2492
(636) 256-5380
(636) 256-5396
Mailing address
15945 CLAYTON RD STE 330, BALLWIN, MO 63011-2492
(636) 256-5380
(636) 256-5396

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2025037004
MO

Other

Enumeration date
07/28/2023
Last updated
10/22/2025
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