Individual
HENRY J MULDER
Active
Individual
HENRY J MULDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301043520
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260042506
RAILROAD MEDICARE
MI
01
—
260D110830
BLUE CROSS BLUE SHIELD
MI
05
—
4277490
—
MI
Enumeration date
07/25/2006
Last updated
06/24/2010
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