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Michael Mcmullin
NPI 1518919752 · on the registry since 2006
Practice
- Address
- 403 W 4th St
St Charles, MN 55972 - Phone
- (507) 932-3810
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-06-06
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 Minnesota