Individual
DANIEL LORENZO BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3031 W GRAND BLVD STE 600, DETROIT, MI 48202-3014
(303) 995-6133
Mailing address
512 MIDLAND BLVD, ROYAL OAK, MI 48073-2805
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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