Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THOMAS MATTHEW MULLIN, MD
ActiveDR. THOMAS MATTHEW MULLIN, MD is a Sports Medicine healthcare provider located in MORA, Minnesota. NPI 1558688663 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · MORA, MN
Registration Details
- NPI Number
- 1558688663
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 28, 2010 (16.338173563262 yrs)
- Last Updated
- Nov 16, 2020
- License
-
54203 (MN)
Practice Information
- Address
-
301 HIGHWAY 65 SMORA, MN, 550511899Browse MN providers · Browse ZIP 55051
- Phone
- 3206791313
- Fax
- 3206749060
- Primary Specialty
-
Sports Medicine
207QS0010X
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.