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Individual

DR. REBECCA KATHERINE MULLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
9825 HOSPITAL DR STE 300, MAPLE GROVE, MN 55369-4768
(763) 587-7900
(763) 494-7501
Mailing address
9201 W BROADWAY AVE STE 601, BROOKLYN PARK, MN 55445-1924
(763) 587-7900
(763) 587-7066

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
2013020802
MO
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
956
MN

Other

Enumeration date
06/25/2013
Last updated
03/16/2023
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