JUDITH L WULLER

BELLEVILLE, IL
NPI1114942174
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IL  036083951)
Additional Taxonomies207R00000X Internal Medicine
(Licence: IL  036-083951)
Enumeration Date2006-07-12
Last Update Date2007-10-19
Business Address
-- JUDITH L WULLER MD
211 S 3RD ST
BELLEVILLE, IL 62220-1915
Phone number: 618-234-2120
Mailing Address
-- JUDITH L WULLER MD
PO BOX 8882
FORT WORTH, TX 76124-0882
Phone number: 817-451-4208