Individual
MATTHEW GLENN MULLINIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 W 7TH ST, FREDERICK, MD 21701-4506
(240) 566-3500
Mailing address
400 W 7TH ST, FREDERICK, MD 21701-4506
(240) 566-3500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/28/2009
Last updated
03/17/2025
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