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Individual

JORDAN BUSHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
28100 GRAND RIVER AVE STE 206, FARMINGTON HILLS, MI 48336-5969
(947) 521-5025
(947) 521-5019
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301112922
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301507464
MI

Other

Enumeration date
06/19/2017
Last updated
01/12/2026
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