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Individual
DR. BARRY L. TULKKI
Active
Individual
DR. BARRY L. TULKKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23277
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00496
MEDICARE GROUPS
—
01
—
1007579
PREFERRED ONE
—
05
—
30471800
—
WI
01
—
46Q74TU
BCBS MN
—
01
—
49170
MEDICARE GROUP
—
Enumeration date
06/16/2005
Last updated
12/21/2007
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