Individual
DR. JOSEPH M BUSTAMANTE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
826 W KING ST, OWOSSO, MI 48867-2120
(517) 487-5585
(517) 487-1129
Mailing address
1031 E SAGINAW ST, LANSING, MI 48906-5519
(517) 487-5585
(517) 487-1129
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5101010368
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4626483
—
MI
Enumeration date
01/23/2007
Last updated
12/10/2007
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