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1871568402
MARK A BUSTAMANTE
FLINT, MI
NPI
1871568402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301054000)
Enumeration Date
2006-02-17
Last Update Date
2023-01-31
Business Address
MARK A BUSTAMANTE MD
102 W PIERSON RD
FLINT, MI 48505-3348
Phone number: 810-222-3033
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Mailing Address
MARK A BUSTAMANTE MD
PO BOX 746723
ATLANTA, GA 30374-6723
Phone number: 312-733-9730
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