Individual
DR. WILLIAM JOHN BULSIEWICZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MSCI
Contact information
Practice address
1300 HOSPITAL DR, SUITE 300, MOUNT PLEASANT, SC 29464-3261
(843) 884-5200
Mailing address
1300 HOSPITAL DR, SUITE 300, MOUNT PLEASANT, SC 29464-3261
(843) 884-5200
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
38981
SC
207RG0100X
Gastroenterology Physician
72194
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I104133
PTAN
—
Enumeration date
09/16/2008
Last updated
02/23/2017
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