Individual
MR. WILLIAM THOMAS BACUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4576 FENWICK DR, WARREN, MI 48092-5112
(586) 344-4098
Mailing address
4576 FENWICK DR, WARREN, MI 48092-5112
(586) 344-4098
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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