Ernest Mullen MD PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

4301081357 Issued in MI

Legal business name

ERNEST MULLEN MD PC

Practice address

19431 Van Dyke St
Detroit, MI 48234-3393

Phone

(734) 306-2446

NPI assigned

Sep 29, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Ernest Mullen, MD

Title

President

Phone

(734) 306-2446

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1447653977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18268 PARKSHORE DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481688588",
            "telephone_number": "734-306-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19431 VAN DYKE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482343393",
            "telephone_number": "734-306-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNEST MULLEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "MULLEN",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-306-2446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "4301081357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• China Ervin
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• Clinic/Center in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.