person
Loretta A Mullally, MD
General Practice Physician in Croswell, Michigan
NPI 1467414227

Loretta A Mullally is a General Practice Physician based in Croswell, MI. Loretta A Mullally practices in Croswell, MI and has the professional credentials of MD. The NPI Number for Loretta A Mullally is 1467414227 and holds a License No. LM051024 (Michigan).

The current practice location address for Loretta A Mullally is 5525 E Peck Rd, Croswell, MI and can be reached out via phone at 810-679-2950 and via fax at 810-679-2960.

Location: 5525 E Peck Rd, Croswell, MI, 48422
person
Provider Profile Details
NPI Number
1467414227
Provider Name
Loretta A Mullally
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5525 E Peck Rd, Croswell, MI, 48422
Phone Number
810-679-2950
Fax Number
810-679-2960
Provider Enumeration Date
04/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0762000 01 BCBSM
2684076 05 MI
institution
Provider Business Practice Location Address Details
Address
5525 E Peck Rd
City
State
Zip
48422
Phone Number
810-679-2950
Fax Number
810-679-2960
person
Provider Business Mailing Address Details
Address
5525 E Peck Rd
City
State
Zip
48422
Phone Number
810-679-2950
Fax Number
810-679-2960
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
LM051024 (Michigan)
Definition
Definition to come...
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