Individual
BORA MUSTAFA AGABIGUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30055 NORTHWESTERN HWY STE 101, FARMINGTON HILLS, MI 48334-3260
(248) 865-4444
(248) 865-6161
Mailing address
1072 SUGAR MAPLE CT, FENTON, MI 48430-9680
(810) 931-6239
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301511600
MI
207YX0901X
Otology & Neurotology Physician
4301511600
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
04/10/2019
Last updated
06/28/2024
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