NPI 1053505222

Christopher L Mullen

Practitioner Rehabilitation Practitioner Minneapolis, MN

Practice location

Address: 2450 Riverside Ave, Minneapolis, MN 55454-1450
Phone: (612) 672-6000
Mailing address: 2212 Jersey Ave S, St Louis Park, MN 55426-2852

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

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Registry record

NPI: 1053505222
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Aug 2007
Record last updated: 30 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.