Individual
DR. TIMOTHY I MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 W PARADISE DR, ORTHOPAEDIC SURGERY, WEST BEND, WI 53095-9795
(262) 334-3451
(262) 326-2964
Mailing address
1700 W PARADISE DR, ORTHOPAEDIC SURGERY, WEST BEND, WI 53095-9795
(262) 334-3451
(262) 326-2964
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
48489 - 20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588752307
—
WI
01
—
48489
LICENSE
WI
Enumeration date
10/10/2006
Last updated
12/31/2014
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