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Individual

DR. ADHISH BASU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., M.S.

Contact information

Practice address
16001 W 9 MILE RD, DEPARTMENT OF GENERAL SURGERY, SOUTHFIELD, MI 48075-4818
(248) 849-8092
Mailing address
16500 N PARK DR, APT 718, SOUTHFIELD, MI 48075-4735

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301092390
MI

Other

Enumeration date
08/10/2008
Last updated
08/10/2008
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