Michelle P Mulligan, M.D.
NPI #1194721936 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1194721936
- Entity Type
- Individual
- Name
- Michelle P Mulligan, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- M.D.
- Enumeration Date
- Jun 27, 2005
- Last Updated
- Aug 28, 2024
Practice Location
- Address
- 3417 ANDERSON HEALTHCARE DR STE 200
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-7784
- Phone
- (618) 288-8500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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