Individual
MARK A BUSTAMANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 W PIERSON RD, FLINT, MI 48505-3348
(810) 222-3033
Mailing address
PO BOX 746723, ATLANTA, GA 30374-6723
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301054000
MI
Other
Enumeration date
02/17/2006
Last updated
01/31/2023
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