Individual
RICHARD A. BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
7390 N SEYMOUR RD, OWOSSO, MI 48867-8611
(517) 256-8522
Mailing address
7390 N SEYMOUR RD, OWOSSO, MI 48867-8611
(517) 256-8522
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704288063
MI
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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