Individual
MOLLY F LAIRD MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1825 W STADIUM BLVD, ANN ARBOR, MI 48103-4501
(734) 222-1491
Mailing address
820 GRANGER AVE, ANN ARBOR, MI 48104-3828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301069605
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301069605
MEDICAL LICENSE
MI
Enumeration date
02/08/2007
Last updated
10/26/2011
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