Individual
GARRETT THOMAS MULLVAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1596
(608) 417-6000
Mailing address
785 MILDENHALL DR, SUN PRAIRIE, WI 53590-8203
(218) 355-0121
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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