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

Mark Ulysses Mumm, PA

Individual provider Physician Assistant · NPI 1316974546

Mark Ulysses Mumm, PA is a Physician Assistant in Ann Arbor, Michigan. Qualified in 1984, 42 years ago. Practices with Iha Health Services Corporation, a 1,146-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
42
Licensed in
CA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4200 Whitehall Dr Ste 150
Ann Arbor, MI 48105
Phone: (734) 995-0308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA18330 (CA)

Record details

NPI number1316974546
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 26, 2006
Last updated in NPPESJune 29, 2022
Certification dateJune 29, 2022
Mailing address24 Frank Lloyd Wright Drive, Suite J2000, Ann Arbor, MI 48105

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice Iha Health Services Corporation — 1146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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