Individual
DR. GERALD M MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACR
Contact information
Practice address
1218 FAIRVIEW DR, MARSHFIELD, WI 54449-1739
(715) 384-3332
Mailing address
1218 FAIRVIEW DR, MARSHFIELD, WI 54449-1739
(715) 384-3332
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25093
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30489600
—
WI
Enumeration date
09/03/2006
Last updated
09/06/2011
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