Gina Marie Mullooly, M.D.

NPI #1427282839 in Big Bend, Wisconsin

Provider Information

NPI Number: 1427282839
Entity Type: Individual
Name: Gina Marie Mullooly, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: M.D.
Enumeration Date: May 13, 2009
Last Updated: Jul 3, 2013

Practice Location

Address: W223S6915 ALAMEDA DR
City: Big Bend
State: Wisconsin
ZIP Code: 53103-9440
Phone: (608) 628-4807

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Anesthesiology	207L00000X	Primary

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