Individual
MR. GLENN A BULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
283 LOONEY RD, PIQUA, OH 45356-4147
(888) 738-2841
Mailing address
PO BOX 2429, MURRELLS INLET, SC 29576-2429
(843) 651-2624
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN-177640
OH
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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