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Dr. John Patrick Mullally, MD
Family Medicine Physician in Port Huron, Michigan
NPI 1033105630

John Patrick Mullally is a Family Medicine Physician based in Port Huron, MI. John Patrick Mullally practices in Port Huron, MI and has the professional credentials of MD. The NPI Number for John Patrick Mullally is 1033105630 and holds a License No. 4301059921 (Michigan).

The current practice location address for John Patrick Mullally is 1117 Stone St, Port Huron, MI and can be reached out via phone at 810-966-4540 and via fax at 810-966-4549.

Location: 1117 Stone St, Port Huron, MI, 48060
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033105630
Provider Name
John Patrick Mullally
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1117 Stone St, Port Huron, MI, 48060
Phone Number
810-966-4540
Fax Number
810-966-4549
Provider Enumeration Date
09/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0740124 01 MI BCBS
104299 01 MI CARE CHOICES
G13412 01 MI HAP
4352066 05 MI
institution
Provider Business Practice Location Address Details
Address
1117 Stone St
City
Port Huron
State
Michigan
Zip
48060
Phone Number
810-966-4540
Fax Number
810-966-4549
person
Provider Business Mailing Address Details
Address
1117 Stone St
City
Port Huron
State
Michigan
Zip
48060
Phone Number
810-966-4540
Fax Number
810-966-4549
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
4301059921 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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