Individual
BUTHEINAH A AL-SHARAFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4190 24TH AVE, SUITE:201, FORT GRATIOT, MI 48059-3882
(810) 989-7478
(810) 989-7644
Mailing address
4190 24TH AVE, SUITE:201, FORT GRATIOT, MI 48059-3882
(810) 989-7478
(810) 989-7644
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301080585
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1107402142
BLUE CROSS BLUE SHIELD
MI
05
—
4443518
—
MI
Enumeration date
09/20/2005
Last updated
07/08/2007
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