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Individual

DR. PETER BOSHARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3535 W 13 MILE RD STE 344, ROYAL OAK, MI 48073-6770
(248) 551-6489
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2689

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036175535
IL
207R00000X
Internal Medicine Physician
4301115375
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
4351033551
MI
207RP1001X
Pulmonary Disease Physician
036175535
IL
207RP1001X
Pulmonary Disease Physician
4351033551
MI

Other

Enumeration date
07/19/2018
Last updated
08/07/2025
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