Individual
MR. ERIC GERARD BULLEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
755 36TH ST SE, GRAND RAPIDS, MI 49548-2319
(616) 301-8000
Mailing address
755 36TH ST SE, GRAND RAPIDS, MI 49548-2319
(616) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851108711
MI
104100000X
Social Worker
—
—
Other
Enumeration date
01/16/2020
Last updated
08/25/2021
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