Search › Indiana › Sports Medicine (Family Medicine) Physician
Timothy Mullally, DO
NPI 1366462046 · on the registry since 2006
Practice
- Address
- 11275 Delaware Pkwy
Crown Point, IN 46307 - Phone
- (219) 779-8735
- Fax
- (877) 715-2312
- Organisation at this address
- Indiana Sports & Medical Science Institute, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- Sports Medicine (Family Medicine) Physician
207QS0010X
- Also registered as
- Family Medicine Physician
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-03-25
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