Individual
JUSTICE MUSHONGA
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) 916-2600
Mailing address
2799 W GRAND BLVD, HENRY FORD HOSPITAL, MEDICAL EDUCATION DEPARTMENT, DETROIT, MI 48202-2608
(313) 916-2600
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301109622
MI
207L00000X
Anesthesiology Physician
ME151318
FL
Other
Enumeration date
04/04/2016
Last updated
03/13/2024
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