Milton L Bullock
Internist - Addiction Medicine
914 S 8th St S131
Minneapolis
, Minnesota 55404-1210
Milton L Bullock
Internist - Addiction Medicine
914 S 8th St S131
Minneapolis
, Minnesota 55404-1210
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Milton L Bullock
- 701 Park Ave
- Minneapolis, MN
- Zip : 55415-1623
- Phone :
Second Address
- Milton L Bullock
- 914 S 8th St S131
- Minneapolis, MN
- Zip : 55404-1210
- Phone : (612) 347-7600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | 20549 | MN |
National Provider Identifier
| NPI | 1639116924 |
|---|---|
| Provider Name | Milton L Bullock |
| First Address | Minneapolis, MN 55415-1623 |
| Second Address | Minneapolis, MN 55404-1210 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/06/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A95511 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.