Search › Michigan › 208G00000X
Michael Bousamra, M.D
NPI 1669411781 · on the registry since 2006
Practice
- Address
- 19229 Mack Ave Ste 23
Grosse Pointe Woods, MI 48236 - Phone
- (248) 849-2600
- Fax
- (248) 849-2610
- Organisation at this address
- Nutrigenomic Medicine Pc
Lloyd And Boccaccio Md Pc
Lymphoma Clinic Of Michigan
Ascension Medical Group Michigan
Hematology Oncology Assoc. East PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 51
Additional practice sites
- 2125 State St, New Albany, IN
Registry record
- Primary taxonomy
- 208G00000X
208G00000X
- Also registered as
- 208G00000X
208G00000X - Licence states on file
- IN, KY, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-12-11
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