Organization
BULA CHIROPRACTIC LLC
Active
Other names
Bula Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACY M BULA DC (DOCTOR)
(715) 623-1191
Entity
Organization
Contact information
Practice address
537 FIELD ST, ANTIGO, WI 54409-2229
(715) 623-1191
(715) 623-1191
Mailing address
537 FIELD ST, ANTIGO, WI 54409-2229
(715) 623-1191
(715) 623-1191
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
301035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38939200
—
WI
Enumeration date
04/09/2007
Last updated
08/22/2020
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