Michael J Bultje in Wyoming - Family Medicine
Michael J Bultje - NPI 1144224882
Michael J Bultje is a Family Medicine in Wyoming, Michigan. Michael J Bultje practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Michael J Bultje is 1144224882. The last update date is 2016-06-21.
Michael J Bultje's current location address is 2093 Health Dr Sw, Wyoming, Michigan. You can contact this provider via phone number 6164593158 and fax number 6168192222. The mailing address for Michael J Bultje is 2093 Health Dr Sw, Wyoming, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael J Bultje |
|---|---|
| Address | 2093 Health Dr Sw, Wyoming, Michigan |
| Phone Number | 6164593158 |
| Fax Number | 6168192222 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1144224882 |
|---|---|
| Provider Enumeration Date | 2005-06-10 |
| Last Updated Date | 2016-06-21 |
Provider Mailing Address Detail
| Address | 2093 Health Dr Sw |
|---|---|
| City | Wyoming |
| State | Michigan (MI) |
| Post Code | 4951996910 |
| Phone Number | 6164593158 |
| Fax Number | 6168192222 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 5101014160 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4426277 | MI | -- | |
| 38-2145264 | MI | IRS TAX ID # THRU NEW EMPLOYER |
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What is the unique 10-digit identification code assigned to Michael J Bultje by the Centers for Medicare & Medicaid Services?
The Michael J Bultje has been issued the NPI (National Provider Identifier) 1144224882, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Michael J Bultje located?
The Michael J Bultje is located at 2093 Health Dr Sw, Wyoming, MI 4951996910.
What is Michael J Bultje's area of expertise and its corresponding taxonomy classification?
The Michael J Bultje's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Michael J Bultje receive the assignment of its 1144224882 from the Centers for Medicare & Medicaid Services?
The Michael J Bultje was issued its 1144224882 by the Centers for Medicare & Medicaid Services on 2005-06-10.
When was the information regarding Michael J Bultje most recently updated?
The details pertaining to the Michael J Bultje, including its address, specialty, and other relevant information, were last refreshed on 2016-06-21.