Individual
PAUL L MULHAUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3509 E 29TH ST, DES MOINES, IA 50317-4253
(515) 248-1600
(515) 248-1610
Mailing address
1776 W LAKES PKWY, WEST DES MOINES, IA 50266-8377
(515) 440-8504
(515) 222-2407
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29836
IA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
29836
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116673
—
IA
01
—
18265
WELLMARK BCBS
IA
Enumeration date
11/22/2005
Last updated
05/08/2015
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