| Doctor Name: | ABELARDO V BUSTILLO |
| NPI Number: | 1083898738 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 4301033812 |
| Business Practice Address: | 1335 Byron Rd Suite 2 Howell, MI - 48855 |
| Business Phone Number: | 5175465786 |
| Business Fax Number: | |
| Mailing Address: | 2039 Byron Rd, HOWELL |
| State: | MI |
| Postal Code: | 48855 |
| Phone Number: | 5175468595 |
| Fax Number: | |
| NPI Enumeration Date: | 12/18/2007 |
| NPI Last Update Date: | 12/18/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4301033812 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |