Individual
JULIE L MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1052 GULL RD, KALAMAZOO, MI 49048-1734
(269) 343-1684
(269) 343-5375
Mailing address
1052 GULL RD, KALAMAZOO, MI 49048-1734
(269) 343-1684
(269) 343-5375
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003710
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900C913660
BCBSM
MI
Enumeration date
12/12/2006
Last updated
05/17/2010
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