Individual
KELLIE ELIZABETH MULLANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3535 W 13 MILE RD # 329, ROYAL OAK, MI 48073-6770
(248) 551-1399
Mailing address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4351054458
MI
Other
Enumeration date
03/11/2024
Last updated
06/04/2025
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