Individual
JERALD MULLERSMAN
Active
Individual
JERALD MULLERSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
MD24976
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3401897
LAB MEDICARE PIN
TN
Enumeration date
12/31/2007
Last updated
10/25/2012
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