Mullooly, Gina Marie

Mullooly, Gina Marie is an individual health care provider with primary practice located at W223S6915 Alameda Dr , Big Bend WI 53103-9440. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Mullooly, Gina Marie can be contacted via phone (608) 628-4807.

Contact Information

Primary practice address
W223S6915 Alameda Dr Big Bend WI 53103-9440
Phone: (608) 628-4807
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 55931-20 Wisconsin

Profile Details

NPI number 1427282839
LBN Legal business name Mullooly, Gina Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2009
Last updated Jul 3rd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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