Individual
DUSTIN JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-1038
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101025105
MI
390200000X
Student in an Organized Health Care Education/Training Program
5101022878
MI
Other
Enumeration date
08/31/2016
Last updated
02/10/2020
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