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Dr. Carol J Mullen, DO
General Practice Physician in West Allis, Wisconsin
NPI 1285646851

Carol J Mullen is a General Practice Physician based in Oconomowoc, WI. Carol J Mullen practices in West Allis, WI and has the professional credentials of DO. The NPI Number for Carol J Mullen is 1285646851 and holds a License No. 35241 (Wisconsin).

The current practice location address for Carol J Mullen is 11101 W Lincoln Ave, West Allis, WI and can be reached out via phone at 262-646-1338.

Location: 11101 W Lincoln Ave, West Allis, WI, 53066-4532
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285646851
Provider Name
Carol J Mullen
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
11101 W Lincoln Ave, West Allis, WI, 53066-4532
Phone Number
262-646-1338
Fax Number
Provider Enumeration Date
08/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30066600 05 WI
institution
Provider Business Practice Location Address Details
Address
11101 W Lincoln Ave
City
West Allis
State
Wisconsin
Zip
53227-1133
Phone Number
262-646-1338
Fax Number
person
Provider Business Mailing Address Details
Address
11101 W Lincoln Ave
City
West Allis
State
Wisconsin
Zip
53227-1133
Phone Number
262-646-1338
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
35241 (Wisconsin)
Definition
Definition to come...
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