Loretta Mullally (NPI# 1467414227, PAC ID# 3577722487) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1467414227 |
| PAC ID by PECOS | 3577722487 |
| Professional Enrollment ID | I20120313000671 |
| Full Name | Loretta Mullally |
| Address |
5525 Peck Rd Croswell MI 48422-9108 |
| Phone Number | 8106792950 |
| Gender | F |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | GENERAL PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230216 | MCLAREN PORT HURON |
| 230031 | LAKE HURON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5525 Peck Rd, Croswell, MI 48422-9108 | 8106792950 |
| Street Address |
5525 PECK RD |
| City | CROSWELL |
| State | MI |
| Zip | 48422-9108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas S Mullally | Family Medicine | 5525 Peck Rd, Croswell, MI 48422-9108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan S Del Rosario | Physical Therapy | Croswell Manual Therapy Inc. | 51 Brown St, Suite 5, Croswell, MI 48422-1159 |
| Donna M Grundman | Physical Therapy | Croswell Manual Therapy Inc. | 51 Brown St, Suite 5, Croswell, MI 48422-1159 |
| Kimberley A Curell | Physician Assistant | Mckenzie Memorial Hospital | 8 N Howard Ave, Croswell, MI 48422-1221 |
| Matthew D Gormley | Internal Medicine | Mckenzie Memorial Hospital | 8 N Howard Ave, Croswell, MI 48422-1221 |
| Philip S Rutherford | Chiropractic | 31 N Howard Ave, Croswell, MI 48422-1222 | |
| Jerry J Hosterman | Clinical Social Worker | 81 N Howard Ave, Croswell, MI 48422-1222 | |
| Gloria Klinesteker | Clinical Social Worker | Sanilac County Community Mental Health Authority | 110 N Howard Ave, Croswell, MI 48422-1256 |
| Jodie L-k Jones | Clinical Social Worker | 112 N Howard Ave, Croswell, MI 48422-1278 |
| City | CROSWELL |
| Zip Code | 48422 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | CROSWELL + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Loretta Mullally.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.