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Individual

DAVID A MULDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
4005 ORCHARD, MIDLAND, MI 48640
(989) 839-3515
Mailing address
4005 ORCHARD, MIDLAND, MI 48640
(989) 839-3515

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
DM004328
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Q22729
UPIN
MI
Enumeration date
09/20/2006
Last updated
09/07/2012
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