DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RANDALL L MULLIN, MD

Active

RANDALL L MULLIN, MD is a Family Medicine healthcare provider located in ANNAWAN, Illinois. NPI 1174501332 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · ANNAWAN, IL

Registration Details

NPI Number
1174501332
Provider Type
Individual
Gender
Male
NPI Issued
Jan 6, 2006 (20.607655536154 yrs)
Last Updated
Jan 15, 2014
License
036048491 (IL)

Practice Information

Address
110 S DEPOT ST
ANNAWAN, IL, 612347768
Browse IL providers · Browse ZIP 61234
Phone
3099445124
Fax
3097211407
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in ANNAWAN, IL

Name Credential NPI
PAUL M RUDY MD 1093794745
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.