ERNEST MULLEN MD PC
Ambulatory Health at Van Dyke St, Detroit, MI

License number
Michigan 4301081357
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. ERNEST MULLEN MD
Title: PRESIDENT
Phone: (734) 306-2446
Address
Address 2
19431 Van Dyke St, Detroit, MI 48234
18268 Parkshore Dr, Northville, MI 48168
National Provider ID: 1447653977
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ERNEST A. MULLEN, MD, PC

Northville, MI

Registration:
Aug 7, 2007
Addresses:
18268 Parkshore Dr, Northville, MI 48167 (Physical)
Michigan (Mailing)
State ID:
00890F
Business type:
Domestic Professional Service Corporation
Agent:
Ernest A Mullen

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