Individual
MICHAEL J BUSUITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1080 KIRTS BLVD, SUITE 700, TROY, MI 48084-4881
(248) 362-2300
(248) 362-5272
Mailing address
1080 KIRTS BLVD, SUITE 700, TROY, MI 48084-4881
(248) 362-2300
(248) 362-5272
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MB045001
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2406342301
BCBS
MI
01
—
4367747
AETNA
MI
01
—
P41079
BLUE CARE NETWORK
MI
Enumeration date
07/07/2006
Last updated
07/08/2007
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