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Individual

MR. KYLE T BUSSIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2799 W GRAND BLVD, HENRY FORD HOSPITAL, MEDICAL EDUCATION DEPARTMENT, DETROIT, MI 48202-2608
(313) 916-3581
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-3581

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
4301509343
MI
2085R0202X
Diagnostic Radiology Physician
Primary
66671
AZ
2085R0202X
Diagnostic Radiology Physician
MD61373789
WA

Other

Enumeration date
04/27/2017
Last updated
12/04/2025
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