Individual
DR. FREDERICK K. BULACAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
W180N8000 TOWN HALL RD, MENOMONEE FALLS, WI 53051-4002
(262) 255-2500
Mailing address
W180N8000 TOWN HALL RD, MENOMONEE FALLS, WI 53051-4002
(262) 255-2500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35691
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042368480
MEDICARE PTAN
WI
01
—
046573840
MEDICARE PTAN
WI
Enumeration date
08/24/2005
Last updated
02/01/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us