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Michael Dubose
NPI 1265977128 · on the registry since 2017 · sole proprietor
Practice
- Address
- 5725 Newberry Dr
Apt 201
Sterling Heights, MI 48310 - Phone
- (313) 918-8304
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 171M00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-01-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan