Organization
ERNEST MULLEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST MULLEN MD (PRESIDENT)
(734) 306-2446
Entity
Organization
Contact information
Practice address
19431 VAN DYKE ST, DETROIT, MI 48234-3393
(734) 306-2446
Mailing address
18268 PARKSHORE DR, NORTHVILLE, MI 48168-8588
(734) 306-2446
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4301081357
MI
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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