Individual
MICHELLE LEE BURKHARDT BULLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1179 WHITEHALL RD B, NORTH MUSKEGON, MI 49445-2497
(231) 744-3573
(231) 719-9016
Mailing address
1179 WHITEHALL RD B, MUSKEGON, MI 49445-2497
(231) 744-3573
(231) 719-9016
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004094
MI
Other
Enumeration date
10/20/2006
Last updated
08/31/2015
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