Individual
SHAHZAD S BULSARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(209) 534-3920
Mailing address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301090855
MI
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
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