Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 4301109906 | MI |
NPI | 1003100314 |
---|---|
Provider Name | Dr. Micheal Buggia |
First Address | Bloomfield Hills, MI 48304-1444 |
Second Address | Warren, MI 48093-3472 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2011 |
Last Update Date | 07/07/2016 |