Individual
KEATON MICHAEL BULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
75 ARCH ST STE 302, AKRON, OH 44304-1432
(330) 253-5046
(330) 253-5095
Mailing address
PO BOX 3542, AKRON, OH 44309-3542
(330) 996-0347
(330) 996-0359
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34010881
OH
Other
Enumeration date
06/28/2010
Last updated
07/24/2013
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