Individual
DR. MOHAMMAD SUNBULLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
18263 E 10 MILE RD, SUITE D, ROSEVILLE, MI 48066-5805
(313) 348-9926
Mailing address
PO BOX 251752, WEST BLOOMFIELD, MI 48325-1752
(313) 348-9926
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301080838
MI
Other
Enumeration date
09/08/2011
Last updated
01/20/2015
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