Individual
JAMES J TULJUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
1405 MILL ST, NEW LONDON, WI 54961-2155
(920) 831-5050
(920) 531-2056
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 831-5050
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601008946
MI
363A00000X
Physician Assistant
Primary
8743
WI
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5315096411
LISCENSE
—
01
—
5315230075
STATE OF MICHIGAN CONTROLLED SUBSTANCE LICENSE
MI
01
—
5601008946
STATE OF MICHIGAN PHYSICIAN ASSISTANT LICENSE
MI
Enumeration date
01/10/2019
Last updated
01/14/2026
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