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Individual

KATHRYN H MULLIGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
919 MAIN ST, STE 102, DYER, IN 46311-3717
(219) 934-2492
(219) 934-2493
Mailing address
757 45TH AVE, STE 201, MUNSTER, IN 46321-2911
(219) 934-2461
(219) 934-2478

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
01052342
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200301400
IN
Enumeration date
03/24/2006
Last updated
12/03/2010
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