Organization · Type 2 NPI
Ernest Mullen MD PC
Clinic/Center · Detroit, MI
NPI number
1447653977
Active
Practice location
19431 Van Dyke St
Detroit, MI 48234-3393
Mailing address
18268 Parkshore Dr
Northville, MI 48168-8588
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 4301081357 (MI) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1447653977
Ernest Mullen MD PC's National Provider Identifier is 1447653977, issued on Sep 29, 2014. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Detroit, MI. The record was last updated on Sep 29, 2014.