Provider Demographics
NPI:1093844391
Name:BULANDER, ROBERT ELLIOTT JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ELLIOTT
Last Name:BULANDER
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:640 JACKSON ST
Mailing Address - Street 2:MAIL STOP 11502V
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55101-2502
Mailing Address - Country:US
Mailing Address - Phone:651-254-3136
Mailing Address - Fax:651-254-1480
Practice Address - Street 1:640 JACKSON ST
Practice Address - Street 2:MAIL STOP 11502V
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55101-2502
Practice Address - Country:US
Practice Address - Phone:651-254-3136
Practice Address - Fax:651-254-1480
Is Sole Proprietor?:No
Enumeration Date:2007-03-04
Last Update Date:2011-10-17
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Provider Licenses
StateLicense IDTaxonomies
MN48345208600000X, 2086S0127X, 2086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care