Dr. Luis E. Bustos, M.D.
Surgery in Warren, MI. Individual provider (NPI-1).
NPI number1750382099
StatusActive
Last updated in NPPESDec 15, 2009
Details
- NPI
- 1750382099
- Entity type
- Individual (NPI-1)
- Name
- Dr. Luis E. Bustos
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 9, 2005
- Last updated
- Dec 15, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 4301032972 | MI | Yes |
Practice location
29135 Ryan RdSuite B
Warren, MI 48092-4276
Phone 586-558-5666 · Fax 586-558-9333
Mailing address
29135 Ryan RdSuite B
Warren, MI 48092-4276
Phone 586-558-5666 · Fax 586-558-9333
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