Individual
DR. BRANDON BULTSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1565 SAM RITTENBERG BLVD STE 104, CHARLESTON, SC 29407-4128
(854) 444-3129
Mailing address
3558 ROOKWOOD PL, JOHNS ISLAND, SC 29455-8183
(854) 444-3129
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
5901002526
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
707
SC
Other
Enumeration date
06/10/2014
Last updated
02/14/2024
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