Individual
MRS. HANNAH BIANCA BULLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1075 SUNCREST DR, LAPEER, MI 48446-4403
(810) 705-0107
Mailing address
2904 RAVINE DR APT 203, LAKE ORION, MI 48360-2642
(810) 705-0107
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008279
MI
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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