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Individual

PETER EDWARD FUJIWARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2110 SIXTEENTH ST, BAY CITY, MI 48708-7609
(989) 893-3584
(989) 893-3584
Mailing address
2110 SIXTEENTH ST, BAY CITY, MI 48708-7609
(989) 893-3584
(989) 893-3584

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
40301030174
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1098628
MI
01
3400903361
BLUE CROSS BLUE SHIELD
MI
Enumeration date
08/28/2006
Last updated
07/08/2007
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