Dr. Ernest A Mullen, MD
Family Medicine in Detroit, MI. Individual provider (NPI-1).
NPI number1528096922
StatusActive
Last updated in NPPESDec 10, 2014
Details
- NPI
- 1528096922
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ernest A Mullen
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 28, 2006
- Last updated
- Dec 10, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 4301081357 | MI | Yes |
Practice location
7436 Woodward AveDetroit, MI 48202-3100
Phone 313-556-9907 · Fax 313-556-9711
Mailing address
5635 W Fort StDetroit, MI 48209-3154
Phone 313-849-3920 · Fax 313-849-0824
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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