Individual
DR. ATHER M BUKHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3903 HOLLYWOOD RD, SAINT JOSEPH, MI 49085-9149
(269) 408-1100
(269) 408-1329
Mailing address
3903 HOLLYWOOD ROAD, ST JOSEPH, MI 49085
(269) 408-1100
(269) 408-1350
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301077149
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301077149
STATE LICENSE
MI
05
—
4359100
—
MI
Enumeration date
08/31/2005
Last updated
02/15/2011
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