Individual
ANDRZEJ S. BOGUSZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 W WACKERLY ST, MIDLAND, MI 48640-2761
(989) 832-0900
Mailing address
301 W WACKERLY ST, MIDLAND, MI 48640-2761
(989) 832-0900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301077917
MI
207RC0000X
Cardiovascular Disease Physician
4301077917
MI
207RI0011X
Interventional Cardiology Physician
Primary
4301077917
MI
207UN0901X
Nuclear Cardiology Physician
4301077917
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301077917
PHYSICIAN LICENSE
MI
Enumeration date
12/01/2006
Last updated
03/07/2023
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