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Individual

DR. KAREN B MULLOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
11100 EUCLID AVE, DEPARTMENT OF FAMILY MEDICINE, CLEVELAND, OH 44106-1716
(216) 368-5967
(216) 368-3194
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.010733
OH
2083X0100X
Occupational Medicine Physician
34.010733
OH
2083X0100X
Occupational Medicine Physician
A-1009 94
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
34.010733
LICENSE
OH
05
50559
NM
Enumeration date
11/17/2006
Last updated
11/19/2013
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