Individual
ALLISON MARIE BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(205) 928-6079
Mailing address
740 W WISCONSIN AVE APT 202, MILWAUKEE, WI 53233-2409
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/21/2026
Last updated
07/21/2026
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