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Dr. Carol J Mullen, DO

General Practice in West Allis, WI. Individual provider (NPI-1).

NPI number1285646851
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1285646851
Entity type
Individual (NPI-1)
Name
Dr. Carol J Mullen
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
Aug 12, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General Practice35241WIYes

Practice location

11101 W Lincoln Ave
Rogers Memorial Hospital
West Allis, WI 53227-1133

Phone 262-646-1338

Mailing address

3630 N Hickory Ln
Oconomowoc, WI 53066-4532

Phone 262-646-1338 · Fax 262-646-7067

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