Individual
DR. GERALD J MULLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22039 JOHN R RD, HAZEL PARK, MI 48030-1712
(248) 336-3937
(248) 336-3938
Mailing address
PO BOX 279, HAZEL PARK, MI 48030-0279
(248) 336-3937
(248) 336-3938
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
GM028879
MI
Other
Enumeration date
08/09/2006
Last updated
05/21/2019
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