person
Mr. Douglas Wayne Mullin, CO
Prosthetics Case Management in Lafayette, Indiana
NPI 1316051006

Douglas Wayne Mullin is a Prosthetics Case Management based in Lafayette, IN and is specialized in Prosthetics Case Management. Douglas Wayne Mullin practices in Lafayette, IN and has the professional credentials of CO. The NPI Number for Douglas Wayne Mullin is 1316051006 and holds a License No. 15097 (Indiana).

The current practice location address for Douglas Wayne Mullin is 3802 Amelia Ave, Lafayette, IN and can be reached out via phone at 765-404-7285.

Location: 3802 Amelia Ave, Lafayette, IN, 47905-5772
person
Provider Profile Details
NPI Number
1316051006
Provider Name
Douglas Wayne Mullin
Credential
CO
Provider Entity Type
Individual
Gender
Male
Address
3802 Amelia Ave, Lafayette, IN, 47905-5772
Phone Number
765-404-7285
Fax Number
Provider Enumeration Date
08/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3802 Amelia Ave
City
State
Zip
47905-5772
Phone Number
765-404-7285
Fax Number
person
Provider Business Mailing Address Details
Address
3802 Amelia Ave
City
State
Zip
47905-5772
Phone Number
765-404-7285
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
15097 (Indiana)
Definition
Definition to come...
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