Individual
MR. MARK JEFFREY BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
5483 GRATIOT RD, SAGINAW, MI 48638-6037
(989) 583-5626
(989) 583-1837
Mailing address
1447 NORTH HARRISON, SAGINAW, MI 48602
(989) 799-5557
(989) 799-5557
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901002436
MI
Other
Enumeration date
06/20/2012
Last updated
09/22/2023
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