Individual
PETER G MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
833 S IOWA ST STE 102, DODGEVILLE, WI 53533-1900
(608) 935-3301
(608) 935-1149
Mailing address
833 S IOWA ST STE 102, DODGEVILLE, WI 53533-1900
(608) 935-3301
(608) 935-1149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48492
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568421543
—
WI
Enumeration date
03/20/2006
Last updated
12/14/2020
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