NPI 1457361503

Gerald J Mullan, MD

Practitioner Ophthalmology Physician Hazel Park, MI

Practice location

Address: 22039 John R Rd, Hazel Park, MI 48030-1712
Phone: (248) 336-3937
Fax: (248) 336-3938
Mailing address: PO Box 279, Hazel Park, MI 48030-0279

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence GM028879 (MI)

Other Ophthalmology providers in Michigan →

Registry record

NPI: 1457361503
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Aug 2006
Record last updated: 21 May 2019

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.