Individual
PATRICK O MULKERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1787 GRAND RIDGE CT NE, STE 202, GRAND RAPIDS, MI 49525-7042
(616) 808-2695
(616) 808-2697
Mailing address
2249 WEALTHY ST SE, STE 202, GRAND RAPIDS, MI 49506-3052
(248) 952-1601
(248) 952-1614
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704176703
MI
Other
Enumeration date
02/20/2009
Last updated
09/14/2015
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