Search › Indiana › 207Q00000X
Andrew Mullally, MD
NPI 1164860086 · on the registry since 2013
Practice
- Address
- 10050 Auburn Park Dr
Fort Wayne, IN 46825 - Phone
- (260) 432-6459
- Fax
- (260) 240-5284
- Organisation at this address
- Credo Health Group, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-04-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana