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Individual
DR. MICHAEL BULETTE
Active
Individual
DR. MICHAEL BULETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD073461L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018579500001
—
PA
01
—
930110562
RAILROAD MEDICARE
PA
01
—
BU1330380
BLUE SHIELD
PA
Enumeration date
06/09/2006
Last updated
10/08/2025
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