Loretta A Mullally in Croswell - General Practice

Loretta A Mullally - NPI 1467414227

Loretta A Mullally is a General Practice in Croswell, Michigan. Loretta A Mullally practices all healthcare services and medical treatments related to General Practice. The NPI Number for Loretta A Mullally is 1467414227. The last update date is 2008-06-09.

Loretta A 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 Loretta A Mullally is 5525 E Peck Rd, Croswell, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Loretta A Mullally
Address 5525 E Peck Rd, Croswell, Michigan
Phone Number 8106792950
Fax Number 8106792960
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1467414227
Provider Enumeration Date 2006-04-05
Last Updated Date 2008-06-09

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 General Practice
Taxonomy 208D00000X
Licence No LM051024
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
762000 BCBSM
2684076 MI --

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FAQs about Loretta A Mullally

What is the unique 10-digit identification code assigned to Loretta A Mullally by the Centers for Medicare & Medicaid Services?

The Loretta A Mullally has been issued the NPI (National Provider Identifier) 1467414227, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Loretta A Mullally is geographically located?

The Loretta A Mullally is physically situated at the following location: 5525 E Peck Rd, Croswell, MI, 48422.

What is Loretta A Mullally's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Loretta A Mullally is General Practice, and the taxonomy code that classifies this field of practice is 208D00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1467414227 to Loretta A Mullally?

The Centers for Medicare & Medicaid Services assigned the 1467414227 to Loretta A Mullally on 2006-04-05.

As of what date were the Loretta A Mullally's details last updated?

The information pertaining to the Loretta A Mullally, including its address, specialty, and other details, was most recently updated on 2008-06-09.

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