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NPI Code Detail

MEDICARE: DR MICHAEL E MULL DPM

MEDICARE: DR MICHAEL E MULL DPM
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
1213E00000XPodiatrist

General Provider Information

NPI Number : 1821267378
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR MICHAEL E MULL DPM
Provider Business Mailing Address
First Line : 3200 SYCAMORE COURT
Second Line : SUITE B1
City : COLUMBUS
State : IN
Zip : 47203-1545
Country : US
Telephone Number : 812-376-0800
Fax Number : 812-376-3483
Provider Business Practice Location Address
First Line : 3200 SYCAMORE COURT
Second Line : SUITE B1
City : COLUMBUS
State : IN
Zip : 47203-1545
Country : US
Telephone Number : 812-376-0800
Fax Number : 812-376-3483
Authorized Official
Title or Position : OWNER PODIATRIST
Name : DR. MICHAEL EUGENE MULL
Credential : DPM
Telephone Number : 812-376-0800
Provider Enumeration Date : 02/28/2008
Last Update Date : 11/03/2009

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