John Mulder, PAC

NPI #1053302364 in Allegan, Michigan

Provider Information

NPI Number: 1053302364
Entity Type: Individual
Name: John Mulder, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Nov 4, 2005
Last Updated: Nov 16, 2007

Practice Location

Address: 551 LINN ST
City: Allegan
State: Michigan
ZIP Code: 49010-1595
Phone: (269) 686-5877

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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