Marcelle Bullard, PA

Individual provider Surgical Physician Assistant · NPI 1184722001

Marcelle Bullard, PA is a Surgical Physician Assistant in New Berlin, Wisconsin. Licensed in Illinois and Wisconsin. Registered with an NPI since 2006.

Licensed in: IL, WI
In the registry since: 2006
Specialties on file: 2

What do these letters mean?

PA — Physician Assistant: A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

14555 W National Ave
New Berlin, WI 53151-4494
Phone: (262) 827-3636

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary)	Taxonomy 363A00000X · Licence 3485-023 (WI)
Surgical Physician Assistant	Taxonomy 363AS0400X · Licence 085-002401 (IL)

Record details

NPI number	1184722001
Entity type	Individual (Type 1)
Gender	Female
Credentials	PA
Sole proprietor	No
NPI enumerated	September 21, 2006
Last updated in NPPES	November 29, 2021
Certification date	November 29, 2021