| Doctor Name: | DR. CHRISTINA MARIE BULISCO |
| NPI Number: | 1306061726 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 4301084054 |
| Business Practice Address: | 1900 Centracare Cir # 2300 Centracare Health Plaza Obstetrics And Women's Health Saint Cloud, MN - 563035000 |
| Business Phone Number: | 3206543630 |
| Business Fax Number: | 3206543657 |
| Mailing Address: | 1406 6th Ave N, St. Cloud Hospital SAINT CLOUD |
| State: | MN |
| Postal Code: | 563031900 |
| Phone Number: | 3202512700 |
| Fax Number: | 3206567115 |
| NPI Enumeration Date: | 04/13/2007 |
| NPI Last Update Date: | 09/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | 4301084054 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |