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NPI Code Detail

MEDICARE: PAUL L MULHAUSEN MD

MEDICARE: PAUL L MULHAUSEN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician29836IA
2207RG0300XGeriatric Medicine (Internal Medicine) Physician29836IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
118265OTHERIAWELLMARK BCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588647887
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL L MULHAUSEN MD
Provider Business Mailing Address
First Line : 1776 W LAKES PKWY
Second Line :
City : WEST DES MOINES
State : IA
Zip : 50266-8377
Country : US
Telephone Number : 515-440-8504
Fax Number : 515-222-2407
Provider Business Practice Location Address
First Line : 3509 E 29TH ST
Second Line :
City : DES MOINES
State : IA
Zip : 50317-4253
Country : US
Telephone Number : 515-248-1600
Fax Number : 515-248-1610
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2005
Last Update Date : 05/08/2015

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Directions to “ PAUL L MULHAUSEN MD” Practice Location

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