Jenna Marie Mullins MD

NPI # 

Practice Address:

191 Theater Road

Onalaska, WI, 54650-8679

Practice Phone:

608-785-0940

License Number:

82504

License State:

WI

Taxonomy Grouping:

Allopathic & Osteopathic Physicians

Taxonomy Classification:

Family Medicine

Taxonomy Code:

207Q00000X

Deactivation Date:

2022-03-30T00:00:00.000Z

Deactivation Code:

None

Reactivation Date:

2022-04-26T00:00:00.000Z