Individual
MARCI RAE BULTEMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5015 N ROYAL DRIVE, TRAVERSE CITY, MI 49684
(231) 935-0850
(231) 935-0869
Mailing address
5015 N ROYAL DR, TRAVERSE CITY, MI 49684-9292
(231) 935-0850
(231) 935-0869
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101013472
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110225636
RR MEDICARE
—
01
—
1152800925
BCBSM
MI
05
—
4274362
—
MI
Enumeration date
03/23/2006
Last updated
03/13/2026
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