Individual
JAMIE KRISTIN MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5900 S LAKE DR, CUDAHY, WI 53110-3171
(414) 649-6588
Mailing address
5900 S LAKE DR, CUDAHY, WI 53110-3171
(414) 649-6588
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
49720020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005
BCBS
WI
Enumeration date
10/28/2006
Last updated
07/18/2008
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