Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Gerald J Mullan, MD

Individual provider Ophthalmology Physician · NPI 1457361503

Dr. Gerald J Mullan, MD is an Ophthalmology in Hazel Park, Michigan. Graduated from Wayne State University School of Medicine in 1968, 58 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
58
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

22039 John R Rd
Hazel Park, MI 48030-1712
Phone: (248) 336-3937
Fax: (248) 336-3938
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3080 John R Rd, Rochester Hills, MI 48307-5462 — (248) 299-3937

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence GM028879 (MI)

Record details

NPI number1457361503
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 9, 2006
Last updated in NPPESMay 21, 2019
Mailing addressPo Box 279, Hazel Park, MI 48030-0279

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Also practisesGENERAL PRACTICE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1968 (58 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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