Individual
LINDA J BULLINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 VETERANS DRIVE, MINNEAPOLIS, MN 55417-2309
(612) 467-3367
(617) 467-4933
Mailing address
1 VETERANS DRIVE, MINNEAPOLIS, MN 55417-2309
(612) 467-3367
(617) 467-4933
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1994
MA
363AS0400X
Surgical Physician Assistant
12766
MN
363AS0400X
Surgical Physician Assistant
1994
MA
Other
Enumeration date
09/24/2006
Last updated
07/18/2022
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