Individual
DR. CHARLES JEFFREY BULVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MS FACP
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3799
(612) 863-4000
Mailing address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3799
(612) 863-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
46176
MN
207R00000X
Internal Medicine Physician
60071752
WA
208M00000X
Hospitalist Physician
60071752
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110167600
—
MN
Enumeration date
07/20/2006
Last updated
07/10/2024
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