Stephen Mark Bullard in Neenah - Internal Medicine
Stephen Mark Bullard - NPI 1508872417
Stephen Mark Bullard is a Internal Medicine in Neenah, Wisconsin. Stephen Mark Bullard practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Stephen Mark Bullard is 1508872417. The last update date is 2007-07-08.
Stephen Mark Bullard's current location address is 1540 Lyon Dr, Neenah, Wisconsin. You can contact this provider via phone number 9207274946. The mailing address for Stephen Mark Bullard is 1540 Lyon Dr, Neenah, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Mark Bullard |
|---|---|
| Address | 1540 Lyon Dr, Neenah, Wisconsin |
| Phone Number | 9207274946 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1508872417 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1540 Lyon Dr |
|---|---|
| City | Neenah |
| State | Wisconsin (WI) |
| Post Code | 549565069 |
| Phone Number | 9207274946 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 38647-020 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique 10-digit identifier code issued to Stephen Mark Bullard by the Centers for Medicare & Medicaid Services?
The Stephen Mark Bullard has been assigned the NPI (National Provider Identifier) 1508872417 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Stephen Mark Bullard is physically located?
The Stephen Mark Bullard is physically situated at the following address: 1540 Lyon Dr, Neenah, WI, 549565069.
What is Stephen Mark Bullard's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stephen Mark Bullard's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
On what date did the Stephen Mark Bullard receive its 1508872417 assignment from the Centers for Medicare & Medicaid Services?
The Stephen Mark Bullard was assigned its 1508872417 by the Centers for Medicare & Medicaid Services on 2006-07-31.
As of what date were the details related to Stephen Mark Bullard most recently updated or revised?
The information pertaining to Stephen Mark Bullard, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.