person
Michael J Bultje, DO
Family Medicine Physician in Wyoming, Michigan
NPI 1144224882

Michael J Bultje is a Family Medicine Physician based in Wyoming, MI. Michael J Bultje practices in Wyoming, MI and has the professional credentials of DO. The NPI Number for Michael J Bultje is 1144224882 and holds a License No. 5101014160 (Michigan).

The current practice location address for Michael J Bultje is 2093 Health Dr Sw, Wyoming, MI and can be reached out via phone at 616-459-3158 and via fax at 616-819-2222.

Location: 2093 Health Dr Sw, Wyoming, MI, 49519-9691
person
Provider Profile Details
NPI Number
1144224882
Provider Name
Michael J Bultje
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2093 Health Dr Sw, Wyoming, MI, 49519-9691
Phone Number
616-459-3158
Fax Number
616-819-2222
Provider Enumeration Date
06/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4426277 05 MI
38-2145264 01 MI IRS TAX ID # THRU NEW EMPLOYER EFFECTIVE 6/30/09
institution
Provider Business Practice Location Address Details
Address
2093 Health Dr Sw
City
State
Zip
49519-9691
Phone Number
616-459-3158
Fax Number
616-819-2222
person
Provider Business Mailing Address Details
Address
2093 Health Dr Sw
City
State
Zip
49519-9691
Phone Number
616-459-3158
Fax Number
616-819-2222
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
5101014160 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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