Individual
MILTON L BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
914 S 8TH ST, S131, MINNEAPOLIS, MN 55404-1210
(612) 347-7600
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
20549
MN
Other
Enumeration date
06/02/2006
Last updated
07/08/2007
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