Individual
DR. THOMAS GEORGE MCMULLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
124 WEST GREENE STREET, POSTVILLE, IA 52162
(563) 864-7221
(563) 864-7224
Mailing address
PO BOX 799, POSTVILLE, IA 52162-0799
(563) 864-7221
(563) 864-7224
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
23234
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0207852
—
IA
01
—
0265030001
DMEPOS/NSC
IA
01
—
20785
BLUE CROSS/BLUE SHIELD IA
IA
Enumeration date
07/03/2006
Last updated
04/26/2013
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