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Michelle P Mulligan, MD
Family Medicine Physician in Edwardsville, Illinois
NPI 1194721936

Michelle P Mulligan is a Family Medicine Physician based in Maryville, IL. Michelle P Mulligan practices in Edwardsville, IL and has the professional credentials of MD. The NPI Number for Michelle P Mulligan is 1194721936 and holds a License No. 036081019 (Illinois).

The current practice location address for Michelle P Mulligan is 3417 Anderson Healthcare Dr Ste 200, Edwardsville, IL and can be reached out via phone at 618-288-8500 and via fax at 618-288-8501.

Location: 3417 Anderson Healthcare Dr Ste 200, Edwardsville, IL, 62062
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194721936
Provider Name
Michelle P Mulligan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3417 Anderson Healthcare Dr Ste 200, Edwardsville, IL, 62062
Phone Number
618-288-8500
Fax Number
618-288-8501
Provider Enumeration Date
06/27/2005
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0107339 01 UNITED HEALTHCARE
080021120 01 IL RR MEDICARE
N8565 01 GROUP HEALTH PLAN
4622029 01 IL ADMINISTAR
036081019 05 IL
180420 01 HEALTHLINK
institution
Provider Business Practice Location Address Details
Address
3417 Anderson Healthcare Dr Ste 200
City
Edwardsville
State
Illinois
Zip
62025-7784
Phone Number
618-288-8500
Fax Number
618-288-8501
person
Provider Business Mailing Address Details
Address
3417 Anderson Healthcare Dr Ste 200
City
Edwardsville
State
Illinois
Zip
62025-7784
Phone Number
618-288-8500
Fax Number
618-288-8501
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036081019 (Illinois)
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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