Individual
KEITH E. MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19401 HUBBARD DR, DEARBORN, MI 48126-2641
(313) 982-8307
(313) 982-8320
Mailing address
2799 W GRAND BLVD, GASTROENTEROLOGY, K-7, DETROIT, MI 48202-2608
(313) 916-2405
(313) 916-6413
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301098887
MI
Other
Enumeration date
06/17/2011
Last updated
07/21/2022
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