Individual
ROBERT BULTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4340 BURLINGAME AVE SW, WYOMING, MI 49509-3770
(616) 475-7922
(616) 475-7926
Mailing address
4340 BURLINGAME AVE SW, WYOMING, MI 49509-3770
(616) 475-7922
(616) 475-7926
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
4301028703
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3305965
—
MI
Enumeration date
12/06/2006
Last updated
06/15/2009
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