Search › Michigan › 163WG0000X
Dawn Bultman
NPI 1922429554 · on the registry since 2013
Practice
- Address
- 6630 Gran Via Ct Ne
Rockford, MI 49341 - Phone
- (616) 240-3023
- Organisation at this address
- Lakeview Child & Family Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 163WG0000X
163WG0000X
- Also registered as
- 163W00000X
163WH0200X
163WM0102X
163WN0003X
163WP0807X
163WP0808X
163WP0809X - Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-12-28
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