Individual
MARISA RAE BUCHAKJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301114422
MI
207Y00000X
Otolaryngology Physician
MD-46204
IA
207YS0012X
Sleep Medicine (Otolaryngology) Physician
MD-46204
IA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
MD-46204
IA
Other
Enumeration date
05/17/2011
Last updated
07/17/2024
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