THERESA SUE IGNACZAK BULLIS

NEW BERLIN, WI
NPI1871041996
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: WI  7248-33)
Enumeration Date2016-09-18
Last Update Date2018-12-17
Business Address
Mrs. THERESA SUE IGNACZAK BULLIS CPNP-PC
4855 S MOORLAND RD
NEW BERLIN, WI 53151-7494
Phone number: 262-432-7599
Mailing Address
Mrs. THERESA SUE IGNACZAK BULLIS CPNP-PC
9000 W WISCONSIN AVE # MS 958
MILWAUKEE, WI 53226-4874
Phone number: 414-266-7615