Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 48345 | MN |
N | 208600000X | Surgeon | 48345 | MN |
N | 2086S0102X | Surgical Critical Care | 48345 | MN |
Y | 2086S0127X | Trauma Surgeon | 48345 | MN |
NPI | 1093844391 |
---|---|
Provider Name | Dr. Robert Elliott Bulander JR. |
First Address | Saint Paul, MN 55101-2502 |
Second Address | Saint Paul, MN 55101-2502 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/03/2007 |
Last Update Date | 17/10/2011 |