Organization
PULSAR MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED S SIDDIQUE MD (PRESIDENT)
(586) 532-8500
Entity
Organization
Contact information
Practice address
538 BROADWAY ST, MARINE CITY, MI 48039-1605
(810) 765-8104
(810) 765-8169
Mailing address
35110 GLENGARY CIR, FARMINGTON HILLS, MI 48331-2618
(313) 966-3565
(810) 765-8169
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MK059699
MI
207R00000X
Internal Medicine Physician
MS044111
MI
207RI0200X
Infectious Disease Physician
Primary
WH055371
MI
Other
Enumeration date
11/01/2006
Last updated
09/11/2025
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