Male or Other

John W. Bulger M.D.

Family Medicine Physician in Mishawaka, IN(View on Map)

Full Name

John Walter Bulger M.D.

NPI Number

1821123035

NPI Type

Individual Provider

Gender

Male

Enumeration Date

02/21/2007

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Indiana

License Number

01034598A

Contact
Information

Purpose

Mailing
Location

Address

303 S MAIN ST
303 S MAIN ST

City

Mishawaka
Mishawaka

State

IN
IN

Postal Code

46544-2189
46544-2189

Country

US
US

Telephone Number

(574) 255-8285
(574) 255-8285

Identifiers

Identifier

100091420A

Identifier State

IN

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/15/2010

Provider Address

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