Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 427 | OH |
NPI | 1417915059 |
---|---|
Provider Name | Dr. Dale E Mull |
First Address | Toledo, OH 43606-3665 |
Second Address | Toledo, OH 43606-3665 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 08/07/2007 |