Individual
MR. JESSE BAYUDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1221 PINE GROVE AVE, DEPARTMENT OF EMERGENCY MEDICINE, DETROIT, MI 48060-2148
(810) 987-5000
Mailing address
1221 PINE GROVE AVE, DEPARTMENT OF EMERGENCY MEDICINE, PORT HURON, MI 48060
(810) 987-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101021951
MI
Other
Enumeration date
05/03/2014
Last updated
06/28/2018
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