Individual
BUSHRA FADHIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4851 E PICKARD ST STE 2100, MOUNT PLEASANT, MI 48858-2039
(989) 772-3009
Mailing address
711 NIGHTINGALE ST, DEARBORN, MI 48128-1530
(313) 434-0422
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704319483
MI
Other
Enumeration date
10/14/2019
Last updated
12/14/2022
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