Martin David Mulligan, MBBCHBAO(IRELAND MD)

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

32377 Issued in MN

Practice address

200 1St St SW
Rochester, MN 55905-0001

Phone

(507) 284-2511

NPI assigned

Nov 13, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1225794290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 4TH AVE SW THE HUE APARTMENTS",
            "address_2": "APT #203",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559023100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIGAN",
        "first_name": "MARTIN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MBBCHBAO(IRELAND MD)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-13",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "32377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin Muller
• Jade T Muller, NP-C
• John Muller, PA-C
• Olivia Marie Muller, D.D.S.
• Sharon M Muller, RN, CNP
• Rhodene M Mullings, CNP
• John P Mullins, MD
• John J Mullon, M.D.
• Siva K Mulpuru, MD
• Cara M Mulrine, OT

• Internal Medicine Physician in Rochester, MN
• Providers in Rochester, MN by specialty
• Internal Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.