Individual
JASREEM KAUR BHULLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
33155 ANNAPOLIS ST, WAYNE, MI 48184-2405
(734) 467-4000
Mailing address
8821 W WALDEN DR, BELLEVILLE, MI 48111-2498
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301104096
MI
Other
Enumeration date
07/26/2013
Last updated
04/06/2015
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