TIMOTHY MULLALLY, DO

Family Medicine - Sports Medicine

Active Individual
NPI: 1366462046

Practice Address

11275 DELAWARE PKWY
Crown Point, IN 46307

Phone: (219) 779-8735

Specialties

Specialty Code Primary License
Family Medicine - Sports Medicine 207QS0010X Yes 02003099A (IN)
Family Medicine 207Q00000X No 02003099A (IN)

Frequently Asked Questions

NPI 1366462046 is the National Provider Identifier for TIMOTHY MULLALLY, DO, a Family Medicine - Sports Medicine provider located in Crown Point, IN. This NPI was enumerated on July 19, 2006.
TIMOTHY MULLALLY, DO practices at 11275 DELAWARE PKWY, Crown Point, IN 46307.

Quick Facts

NPI
1366462046
Type
Individual
Enumerated
Jul 19, 2006
Last Updated
Mar 25, 2019

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