DANIEL LORENZO BUSH

DETROIT, MI
NPI1568218055
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-04-25
Last Update Date2024-04-25
Business Address
DANIEL LORENZO BUSH DO
3031 W GRAND BLVD STE 600
DETROIT, MI 48202-3014
Phone number: 303-995-6133
Mailing Address
DANIEL LORENZO BUSH DO
512 MIDLAND BLVD
ROYAL OAK, MI 48073-2805
Phone number: