Individual
DUY BUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 745-5146
Mailing address
2823 GRAYSON ST, FERNDALE, MI 48220-1067
(805) 509-4466
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301096926
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301096926
PHYSICIAN EDUCATIONAL LIMITED LICENSE
MI
Enumeration date
07/02/2010
Last updated
07/02/2010
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