Thomas S Mullally in Croswell - Family Medicine

Thomas S Mullally - NPI 1629030879

Thomas S Mullally is a Family Medicine in Croswell, Michigan. Thomas S Mullally practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Thomas S Mullally is 1629030879. The last update date is 2007-07-08.

Thomas S Mullally's current location address is 5525 E Peck Rd, Croswell, Michigan. You can contact this provider via phone number 8106792950 and fax number 8106792960. The mailing address for Thomas S Mullally is 5525 E Peck Rd, Croswell, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas S Mullally
Address 5525 E Peck Rd, Croswell, Michigan
Phone Number 8106792950
Fax Number 8106792960
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1629030879
Provider Enumeration Date 2006-04-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5525 E Peck Rd
City Croswell
State Michigan (MI)
Post Code 48422
Phone Number 8106792950
Fax Number 8106792960

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No TM051015
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2695679 MI --
760069 BCBSM

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FAQs about Thomas S Mullally

What is the unique identifier code issued to Thomas S Mullally by the Centers for Medicare & Medicaid Services?

The Thomas S Mullally has been assigned the NPI (National Provider Identifier) 1629030879. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Thomas S Mullally is located?

The Thomas S Mullally is situated at the following address: 5525 E Peck Rd, Croswell, MI, 48422.

What is Thomas S Mullally's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Thomas S Mullally is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

On what date did Thomas S Mullally receive its 1629030879 assignment from the Centers for Medicare & Medicaid Services?

The Thomas S Mullally was assigned its 1629030879 on 2006-04-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Thomas S Mullally most recently updated?

The details pertaining to the Thomas S Mullally, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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