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Individual

DR. DENNIS L MULLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
125 16TH AVE E, SEATTLE, WA 98112-5211
(206) 326-3000
Mailing address
12013 NE 68TH PL, KIRKLAND, WA 98033-8427
(425) 827-1754

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD00015809
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
129590
L&I
WA
05
8420705
WA
Enumeration date
05/11/2006
Last updated
07/08/2007
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