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Marcelle Bullard, PA
Physician Assistant in New Berlin, Wisconsin
NPI 1184722001

Marcelle Bullard is a Physician Assistant based in Milwaukee, WI. Marcelle Bullard practices in New Berlin, WI and has the professional credentials of PA. The NPI Number for Marcelle Bullard is 1184722001 and holds a License No. 085-002401 (Wisconsin).

The current practice location address for Marcelle Bullard is 14555 W National Ave, New Berlin, WI and can be reached out via phone at 262-827-3636. You can also correspond with Marcelle Bullard through the mailing address at 3301 W FOREST HOME AVE, MILWAUKEE, WI - 53215-2843 (mailing address contact number: 143-892-3774).

Location: 14555 W National Ave, New Berlin, WI, 53215-2843
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184722001
Provider Name
Marcelle Bullard
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
14555 W National Ave, New Berlin, WI, 53215-2843
Phone Number
262-827-3636
Fax Number
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
385-001224 01 IL IL CONTROL SUBSTANCE LIC
100043751 05 WI
085-002401 01 IL IL STATE LIC
institution
Provider Business Practice Location Address Details
Address
14555 W National Ave
City
New Berlin
State
Wisconsin
Zip
53151-4494
Phone Number
262-827-3636
Fax Number
person
Provider Business Mailing Address Details
Address
3301 W Forest Home Ave
City
Milwaukee
State
Wisconsin
Zip
53215-2843
Phone Number
143-892-3774
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
3485-023 (Wisconsin)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
085-002401 (Illinois)
Definition
Definition to come...
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