Bruce L Bullion O.D.

NPI 1003814492 - Optometrist - 152W00000X

NPI Details
NPI 1003814492
Gender Male
Enumeration Date 07/11/2005
Last Updated 10/25/2007
Entity Type Individual
Active Over 12 years ago
Practice Location
1960 28TH ST SE
GRAND RAPIDS MI, 49508-7900, US
Phone (616) 247-6677
Fax (616) 247-1254
Business Location
SPRING LAKE MI, 49456-2024, US
Phone (616) 846-0620
Fax (616) 844-6079
Taxonomy Code 152W00000X
License State Michigan
License Number 4901004093
Remove 1003814492 NPI Number

According to our database, Bruce L Bullion O.D. NPI is 1003814492, taxonomy code is 152W00000X and license number is 4901004093, license state is located at Michigan. Bruce L Bullion O.D. physically located at 1960 28th St Se, Grand Rapids MI, 49508-7900. NPI Number Bruce L Bullion O.D. has the Individual type.

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1003814492 NPI number is provided on an as is basis without warranty of any kind. 1003814492 is maintained by the National Plan & Provider Enumeration System. The contents of Bruce L Bullion O.D. are for informational purposes only.