Individual
JOSEPH BOURDAGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8001 CHALLIS RD, BRIGHTON, MI 48116-7446
(734) 539-5080
Mailing address
1200 E HOSPITAL DR. D3230, ANN ARBOR, MI 48109
(734) 647-1774
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351052172
MI
Other
Enumeration date
07/11/2022
Last updated
05/21/2024
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