Individual
ANDREW BOZIMOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 916-2600
Mailing address
247 E BENNETT AVE, FERNDALE, MI 48220-2587
(248) 320-4096
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704316390
MI
Other
Enumeration date
12/11/2023
Last updated
05/08/2024
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