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Individual

BASHAR SILEEWA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
21840 23 MILE RD, MACOMB, MI 48042-4422
(586) 598-8115
Mailing address
28855 ROCKLEDGE DR, FARMINGTON HILLS, MI 48334-1761
(248) 252-3839

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704312601
MI

Other

Enumeration date
01/28/2019
Last updated
01/28/2019
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