Individual
DR. MUSTUFA YAHYA BOXWALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, WEST PAVILION 3RD FLOOR-H343, DETROIT, MI 48202-3450
(313) 916-3146
Mailing address
2799 W GRAND BLVD, WEST PAVILION 3RD FLOOR-H343, DETROIT, MI 48202-2608
(313) 916-3146
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301093813
MI
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
4301093813
MI
Other
Enumeration date
08/03/2008
Last updated
06/10/2009
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