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Individual
DR. TIMOTHY C BULLARD
Active
Individual
DR. TIMOTHY C BULLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01051619
IN
207P00000X
Emergency Medicine Physician
4301082809
MI
207P00000X
Emergency Medicine Physician
A64738
CA
207Q00000X
Family Medicine Physician
Primary
A64738
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A647380
—
CA
01
—
1306801766
BC BS MI
MI
05
—
1306801766
—
MI
01
—
930098046
RAILROAD
CA
Enumeration date
04/19/2006
Last updated
10/07/2021
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