Oswald Bostic M.D.

NPI 1063439586 - Specialist - 174400000X

NPI Details
NPI 1063439586
Gender Male
Enumeration Date 07/17/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
27177 LAHSER RD
SUITE 103
SOUTHFIELD MI, 48034-4714, US
Phone (248) 357-1360
Fax (248) 357-2610
Business Location
27177 LAHSER RD
SUITE 103
SOUTHFIELD MI, 48034-4714, US
Phone (248) 357-1360
Fax (248) 357-2610
Toxanomy
Taxonomy Code 174400000X
License State Michigan
License Number 4301032284
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According to our database, Oswald Bostic M.D. NPI is 1063439586, taxonomy code is 174400000X and license number is 4301032284, license state is located at Michigan. Oswald Bostic M.D. physically located at 27177 Lahser Rd, Southfield MI, 48034-4714. NPI Number Oswald Bostic M.D. has the Individual type.

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1063439586 NPI number is provided on an as is basis without warranty of any kind. 1063439586 is maintained by the National Plan & Provider Enumeration System. The contents of Oswald Bostic M.D. are for informational purposes only.