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Organization

D NESTOR MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DUSHAN NESTOR MD (PRESIDENT)
(248) 689-1330
Entity
Organization

Contact information

Practice address
2888 E LONG LAKE RD, SUITE 105, TROY, MI 48085-3700
(248) 689-1330
(248) 689-6424
Mailing address
2888 E LONG LAKE RD, SUITE 105, TROY, MI 48085-3700
(248) 689-1330
(248) 689-6424

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301044600
MI
207Q00000X
Family Medicine Physician
4301068171
MI

Other

Enumeration date
08/17/2006
Last updated
07/25/2007
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