Individual
MICHELLE ANN MULLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 13TH AVE NE, BUFFALO, MN 55313-2524
(763) 684-0076
Mailing address
215 13TH AVE NE, BUFFALO, MN 55313-2524
(763) 684-0076
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2475612
MN
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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