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Luis E Bustos M.d.,p.c.
Clinic/Center in Warren, Michigan
NPI 1730359514

Luis E Bustos M.d.,p.c. is a Clinic/Center based in Warren, MI. Luis E Bustos M.d.,p.c. practices in Warren, MI. The NPI Number for Luis E Bustos M.d.,p.c. is 1730359514 and holds a License No. 4301032972 (Michigan).

The current practice location address for Luis E Bustos M.d.,p.c. is 29135 Ryan Rd, Warren, MI and can be reached out via phone at 586-558-5666 and via fax at 586-558-9333. You can also correspond with Luis E Bustos M.d.,p.c. through the mailing address at 29135 RYAN RD, WARREN, MI - 48092-4276 (mailing address contact number: 586-558-5666).

Location: 29135 Ryan Rd, Warren, MI, 48092-4276
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730359514
Provider Name
Luis E Bustos M.d.,p.c.
Credential
Provider Entity Type
Organization
Address
29135 Ryan Rd, Warren, MI, 48092-4276
Phone Number
586-558-5666
Fax Number
586-558-9333
Provider Enumeration Date
03/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0205006091 01 MI BLUE CROSS BLUE SHIELD MI
101390582 05 MI
institution
Provider Business Practice Location Address Details
Address
29135 Ryan Rd
City
Warren
State
Michigan
Zip
48092-4276
Phone Number
586-558-5666
Fax Number
586-558-9333
person
Provider Business Mailing Address Details
Address
29135 Ryan Rd
City
Warren
State
Michigan
Zip
48092-4276
Phone Number
586-558-5666
Fax Number
586-558-9333
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
4301032972 (Michigan)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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