John James Bushaw IV, OD
NPI #1871084723 in Birmingham, Michigan
Provider Information
- NPI Number
- 1871084723
- Entity Type
- Individual
- Name
- John James Bushaw IV, OD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist
- Credential
- OD
- Enumeration Date
- May 27, 2018
- Last Updated
- Sep 20, 2019
Practice Location
- Address
- 800 S ADAMS RD STE 201
- City
- Birmingham
- State
- Michigan
- ZIP Code
- 48009-7008
- Phone
- (248) 644-8060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Optometrist |
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