Mary Denay Busby

NPI #1336598192 in Wixom, Michigan

Provider Information

NPI Number: 1336598192
Entity Type: Individual
Name: Mary Denay Busby
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jun 12, 2016
Last Updated: Jun 12, 2016

Practice Location

Address: 30722 BEECHWOOD ST APT 47108
City: Wixom
State: Michigan
ZIP Code: 48393-2802
Phone: (248) 635-2591

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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