Doctor Name: | ANNA BUZADZHI |
NPI Number: | 1851746176 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 5101022225 |
Business Practice Address: | 1 Genesys Pkwy Grand Blanc, MI - 484398065 |
Business Phone Number: | 8106065000 |
Business Fax Number: | |
Mailing Address: | 1 Genesys Pkwy, GRAND BLANC |
State: | MI |
Postal Code: | 484398065 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/25/2016 |
NPI Last Update Date: | 04/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 5101022225 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |