Individual
DR. STACY M BULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
537 FIELD ST, ANTIGO, WI 54409-2229
(715) 623-1191
(715) 623-1191
Mailing address
537 FIELD ST, ANTIGO, WI 54409-2229
(715) 623-1191
(715) 623-1191
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3830012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38939200
—
WI
Enumeration date
07/06/2006
Last updated
07/08/2007
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