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Thea Bultman
NPI 1134997315 · on the registry since 2023
Practice
- Address
- 26184 Outer Dr
Lincoln Park, MI 48146 - Phone
- (313) 389-3942
- Organisation at this address
- Community Care Services
Community Care ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 96
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 103T00000X
104100000X - Sex
- Female
- Record last updated
- 2023-12-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan