Individual
KASTYTIS LEONAS BUITKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21700 GREENFIELD RD, SUITE 130, OAK PARK, MI 48237-2581
(248) 967-4310
(248) 967-4301
Mailing address
6593 MINNOW POND DR, WEST BLOOMFIELD, MI 48322-2660
(248) 926-4047
(248) 926-4049
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
KB050601
MI
207RA0401X
Addiction Medicine (Internal Medicine) Physician
KB050601
MI
Other
Enumeration date
06/15/2006
Last updated
03/13/2012
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