Individual
CHRISTOPHER WYNN MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
827 LINDEN AVE, DEPARTMENT OF MEDICINE, BALTIMORE, MD 21201
(410) 225-8790
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
MD60783372
WA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD60783372
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871931139
—
WA
Enumeration date
06/10/2013
Last updated
06/26/2018
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