Carol J Mullen in Oconomowoc - General Practice

Carol J Mullen - NPI 1285646851

Carol J Mullen is a General Practice in Oconomowoc, Wisconsin. Carol J Mullen practices all healthcare services and medical treatments related to General Practice. The NPI Number for Carol J Mullen is 1285646851. The last update date is 2007-07-08.

Carol J Mullen's current location address is 3630 N Hickory Ln, Oconomowoc, Wisconsin. You can contact this provider via phone number 2626461338 and fax number 2626467067. The mailing address for Carol J Mullen is 3630 N Hickory Ln, Oconomowoc, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Carol J Mullen
Address 3630 N Hickory Ln, Oconomowoc, Wisconsin
Phone Number 2626461338
Fax Number 2626467067
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1285646851
Provider Enumeration Date 2006-08-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3630 N Hickory Ln
City Oconomowoc
State Wisconsin (WI)
Post Code 530664532
Phone Number 2626461338
Fax Number 2626467067

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 35241
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
30066600 WI --

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FAQs about Carol J Mullen

What is the unique 10-digit identification code assigned to Carol J Mullen by the Centers for Medicare & Medicaid Services?

The Carol J Mullen has been issued the NPI (National Provider Identifier) 1285646851, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Carol J Mullen's facilities are geographically located?

The facilities of Carol J Mullen are physically situated at the following location: 3630 N Hickory Ln, Oconomowoc, WI, 530664532.

What is Carol J Mullen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Carol J Mullen is General Practice, and the taxonomy classification code that categorizes this area of expertise is 208D00000X.

On what date was the 1285646851 assigned to Carol J Mullen?

The Carol J Mullen was issued its 1285646851 on 2006-08-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Carol J Mullen most recently updated or revised?

The information pertaining to Carol J Mullen, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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