Provider Demographics
NPI:1609038587
Name:BULJAN, MICHAEL MARION (RN, CNS, NP)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:MARION
Last Name:BULJAN
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Gender:M
Credentials:RN, CNS, NP
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Mailing Address - Street 1:1600 DIVISADERO ST
Mailing Address - Street 2:4TH FLOOR MELANOMA CLINIC
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3010
Mailing Address - Country:US
Mailing Address - Phone:415-244-0540
Mailing Address - Fax:415-885-3802
Practice Address - Street 1:1600 DIVISADERO ST
Practice Address - Street 2:4TH FLOOR MELANOMA CLINIC
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3010
Practice Address - Country:US
Practice Address - Phone:415-244-0540
Practice Address - Fax:415-885-3802
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2011-06-02
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Provider Licenses
StateLicense IDTaxonomies
CA17937363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health