Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL R MCMULLIN
ActiveMICHAEL R MCMULLIN is a Physician Assistant healthcare provider located in ST CHARLES, Minnesota. NPI 1518919752 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ST CHARLES, MN
Registration Details
- NPI Number
- 1518919752
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 16, 2006 (20.230832683718 yrs)
- Last Updated
- Jun 6, 2013
- License
-
9486 (MN)
Practice Information
- Address
-
403 W 4TH STST CHARLES, MN, 559722127Browse MN providers · Browse ZIP 55972
- Phone
- 5079323810
- Primary Specialty
-
Physician Assistant
363A00000X
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.