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Individual

LAURIE BOSSORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
MICHIGAN HEART, 5325 ELLIOT DRIVE, SECOND FLOOR, YPSILANTI, MI 48197
(734) 712-8000
(734) 712-8010
Mailing address
24 FRANK LLOYD WRIGHT DRIVE, SUITE J2000, ANN ARBOR, MI 48105
(614) 293-3989

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.026133
OH
207RI0011X
Interventional Cardiology Physician
Primary
4301506274
MI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/02/2015
Last updated
08/03/2022
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