Individual
MATTHEW CODY MULCAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1400 MERCY DR STE 100, MUSKEGON, MI 49444-1833
(231) 733-1326
Mailing address
14842 SHARON AVE, GRAND HAVEN, MI 49417-9409
(616) 502-2190
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010963
MI
Other
Enumeration date
12/07/2021
Last updated
01/13/2022
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