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General NPI Number Information
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NPI Number | 1821267378
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Entity Type | Organization
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Legal Business Name | DR MICHAEL E MULL DPM
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Dates
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Enumeration Date | 02/28/2008
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Last Update Date | 11/03/2009
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Provider Practice Location Address
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Address Line | 3200 SYCAMORE COURT SUITE B1
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City | COLUMBUS
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State | IN
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Zip | 47203-1545
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Country | US
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Telephone | 812-376-0800
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Fax | 812-376-3483
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Provider Business Mailing Address
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Address Line | 3200 SYCAMORE COURT SUITE B1
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City | COLUMBUS
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State | IN
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Zip | 47203-1545
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Country | US
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Telephone | 812-376-0800
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Fax | 812-376-3483
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Authorized Official
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Title or Position | OWNER PODIATRIST
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Name | DR. MICHAEL EUGENE MULL
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Credential | DPM
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Telephone | 812-376-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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