Provider Demographics
NPI:1588975130
Name:MULHERN, MICHAEL LIBBY (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:LIBBY
Last Name:MULHERN
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:1112 W 6TH ST
Mailing Address - Street 2:STE 214
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-2215
Mailing Address - Country:US
Mailing Address - Phone:785-841-2280
Mailing Address - Fax:785-841-2765
Practice Address - Street 1:1112 W 6TH ST
Practice Address - Street 2:STE 214
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-2215
Practice Address - Country:US
Practice Address - Phone:785-841-2280
Practice Address - Fax:785-841-2765
Is Sole Proprietor?:No
Enumeration Date:2010-06-29
Last Update Date:2016-04-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI57512-20207W00000X
KS04-37390207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology