Organization
J MULLALLY MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETH A NOBLE (OFFICE MANAGER)
(810) 966-4540
Entity
Organization
Contact information
Practice address
1117 STONE ST, SUITE 2, PORT HURON, MI 48060-3525
(810) 966-4540
Mailing address
1117 STONE ST, SUITE 2, PORT HURON, MI 48060-3525
(810) 966-4540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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