Individual
DR. TIMOTHY ROBERT BULLION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
161 W WISCONSIN AVE, SUITE 5035, MILWAUKEE, WI 53203-2602
(414) 273-5553
Mailing address
161 W WISCONSIN AVE, SUITE 5035, MILWAUKEE, WI 53203-2602
(414) 273-5553
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4389
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33707000
—
WI
Enumeration date
01/19/2007
Last updated
07/08/2007
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