# ANGELA BULLY M.D., P.L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922215201
- **Authorized official:** DR. ANGELA BULLY M.D. (PHYSICIAN OWNER)
- **Authorized official phone:** (313) 833-1271

## Contact information

- **Practice address:** 4160 JOHN R ST, SUITE 804, DETROIT, MI 48201-2020
- **Practice address phone:** (313) 833-1271
- **Practice address fax:** (313) 833-1273
- **Mailing address:** 4160 JOHN R ST, SUITE 804, DETROIT, MI 48201-2020
- **Mailing address phone:** (313) 833-1271
- **Mailing address fax:** (313) 833-1273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301057665 | MI | Yes |

## Other

- **Enumeration date:** 05/17/2007
- **Last updated:** 11/02/2009