Individual
IRIS BOURBON DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
46591 ROMEO PLANK RD STE 205, MACOMB, MI 48044-5705
(586) 868-9800
(586) 868-9801
Mailing address
46591 ROMEO PLANK RD STE 205, MACOMB, MI 48044-5705
(586) 868-9800
(586) 868-9801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301061948
MI
Other
Enumeration date
07/28/2006
Last updated
05/16/2025
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