Individual
SALLY A MULLANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 672-7422
Mailing address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 672-7422
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
44777
MN
207VX0201X
Gynecologic Oncology Physician
Primary
44777
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5910509
—
NC
Enumeration date
01/17/2006
Last updated
06/29/2017
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