Individual
MR. NATHAN MULLINS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
(810) 966-4459
Mailing address
735 WALL ST, APT #1, PORT HURON, MI 48060-5377
(810) 887-8801
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
175T00000X
MI
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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