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Individual

PATRICK CHARLES ALBUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
430174033
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
310B510660
BCBSM
MI
05
4908338
MI
01
P00334854
RAILROAD MEDICARE
MI
Enumeration date
08/12/2006
Last updated
04/08/2024
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