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NPI Code Detail

MEDICARE: BRUCE GREGORY KULANDER MD

MEDICARE:   BRUCE GREGORY KULANDER  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianMD00008899WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1203978OTHERWALABOR & INDUSTRIES
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811966328
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRUCE GREGORY KULANDER MD
Provider Business Mailing Address
First Line : PO BOX 3941
Second Line :
City : SEATTLE
State : WA
Zip : 98124-3941
Country : US
Telephone Number : 206-386-2676
Fax Number : 206-386-2709
Provider Business Practice Location Address
First Line : 747 BROADWAY
Second Line :
City : SEATTLE
State : WA
Zip : 98122-4307
Country : US
Telephone Number : 206-386-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2006
Last Update Date : 12/18/2007

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Directions to “ BRUCE GREGORY KULANDER MD” Practice Location

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