Individual
DR. ANTHONY P MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
11745 FOREST DR, PINCKNEY, MI 48169-9538
(734) 323-5253
Mailing address
11745 FOREST DR, PINCKNEY, MI 48169-9538
(734) 323-5253
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
004022
MI
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4461463
—
MI
Enumeration date
12/18/2006
Last updated
03/18/2016
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