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

Individual provider Family Medicine Physician · NPI 1033105630

Dr. John Patrick Mullally, MD is a Family Practice in Port Huron, Michigan. Graduated from Wayne State University School of Medicine in 1992, 34 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
34
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1117 Stone St Ste 2
Port Huron, MI 48060
Phone: (810) 966-4540
Fax: (810) 966-4549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301059921 (MI)

Record details

NPI number1033105630
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 20, 2005
Last updated in NPPESOctober 17, 2007
Mailing address1117 Stone St, Suite 2, Port Huron, MI 48060

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Port Huron