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Individual

ROBERT MULLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2805 CAMPUS DR, SUITE 325, PLYMOUTH, MN 55441-2676
(763) 550-1013
(763) 550-0615
Mailing address
2805 CAMPUS DR, SUITE 325, PLYMOUTH, MN 55441-2676
(763) 550-1013
(763) 550-0615

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
507
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
884525500
MN
Enumeration date
07/20/2005
Last updated
07/08/2007
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