Marcelle Bullard is a Surgical in New Berlin, Wisconsin. Marcelle Bullard practices all healthcare services and medical treatments related to Surgical. The NPI Number for Marcelle Bullard is 1184722001. The last update date is 2021-11-29.
Marcelle Bullard's current location address is 14555 W National Ave, New Berlin, Wisconsin. You can contact this provider via phone number 2628273636. The mailing address for Marcelle Bullard is 14555 W National Ave, New Berlin, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marcelle Bullard |
|---|---|
| Address | 14555 W National Ave, New Berlin, Wisconsin |
| Phone Number | 2628273636 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1184722001 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2021-11-29 |
Provider Mailing Address Detail
| Address | 14555 W National Ave |
|---|---|
| City | New Berlin |
| State | Wisconsin (WI) |
| Post Code | 531514494 |
| Phone Number | 2628273636 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 085-002401 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 385-001224 | IL | IL CONTROL SUBSTANCE LIC | |
| 100043751 | WI | -- | |
| 085-002401 | IL | IL STATE LIC |
Post Comment/ Review Below
What is Marcelle Bullard's area of expertise and its corresponding taxonomy classification?
The Marcelle Bullard's field of specialization is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their areas of practice.
What is Marcelle Bullard's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Marcelle Bullard is Surgical, and the taxonomy code that classifies this field of practice is 363As0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1184722001 to Marcelle Bullard?
The Centers for Medicare & Medicaid Services originally issued the 1184722001 to Marcelle Bullard on 2006-09-21.
As of what date were the details pertaining to Marcelle Bullard last refreshed?
The information related to the Marcelle Bullard, including its address, specialty, and other relevant details, was last updated on 2021-11-29.
When was the information regarding Marcelle Bullard, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Marcelle Bullard, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-11-29.
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