Marcelle Bullard, PA

NPI #1184722001 in New Berlin, Wisconsin

Provider Information

NPI Number: 1184722001
Entity Type: Individual
Name: Marcelle Bullard, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Sep 21, 2006
Last Updated: Nov 29, 2021

Practice Location

Address: 14555 W NATIONAL AVE
City: New Berlin
State: Wisconsin
ZIP Code: 53151-4494
Phone: (262) 827-3636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant	363A00000X	Primary

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