Individual
MRS. DZEVADA BUKARIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3530 CARPENTER ST, HAMTRAMCK, MI 48212-2766
(313) 366-8500
Mailing address
3530 CARPENTER ST, HAMTRAMCK, MI 48212-2766
(313) 366-8500
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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