| Doctor Name: | MICHAEL MULLANE |
| NPI Number: | 1053302729 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 36700 |
| Business Practice Address: | 1151 Warwick Way Racine, WI - 534065661 |
| Business Phone Number: | 2628867360 |
| Business Fax Number: | 2628867361 |
| Mailing Address: | 3003 W Good Hope Rd, MILWAUKEE |
| State: | WI |
| Postal Code: | 532092042 |
| Phone Number: | 4143523100 |
| Fax Number: | |
| NPI Enumeration Date: | 11/02/2005 |
| NPI Last Update Date: | 05/17/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RH0003X |
| License Number: | 36700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Hematology & Oncology |
| Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |