Individual
PAUL H BULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1302 COLLEGE AVE, SUITE 1, GOSHEN, IN 46526-5113
(574) 534-4880
Mailing address
1302 COLLEGE AVE, SUITE 1, GOSHEN, IN 46526-5113
(574) 534-4880
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01037930
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100113780B
—
IN
Enumeration date
06/02/2006
Last updated
12/11/2024
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