Individual
DELAND MAURICE MCMULLAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1122 WALNUT ST, YPSILANTI, MI 48198-3937
(734) 320-4819
Mailing address
PO BOX 970646, YPSILANTI, MI 48197-0088
(734) 320-4819
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1258592
MI
2255A2300X
Athletic Trainer
—
MI
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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