Individual
DR. BRADLEY ROBERT MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4102
(715) 847-2283
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-8315
(614) 293-6935
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35.140944
OH
2085R0202X
Diagnostic Radiology Physician
Primary
37599
AZ
2085R0202X
Diagnostic Radiology Physician
75187-20
WI
2085R0202X
Diagnostic Radiology Physician
EMC0007015
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100194978
—
WI
05
—
314564
—
AZ
Enumeration date
08/17/2006
Last updated
03/30/2026
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