Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL BOUSAMRA II, M.D.
ActiveMICHAEL BOUSAMRA II, M.D. is a Thoracic Surgery (Cardiothoracic Vascular) healthcare provider located in GROSSE POINTE WOODS, Michigan. NPI 1669411781 is currently active in the NPPES registry. Verify at CMS.
Thoracic Surgery (Cardiothoracic Vascular) · GROSSE POINTE WOODS, MI
Registration Details
- NPI Number
- 1669411781
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 5, 2006 (20.217366842193 yrs)
- Last Updated
- Dec 11, 2020
- Licenses
-
01066681A (IN)35096 (KY)4301503387 (MI)
Practice Information
- Address
-
19229 MACK AVE STE 23GROSSE POINTE WOODS, MI, 482362857Browse MI providers · Browse ZIP 48236
- Phone
- 2488492600
- Fax
- 2488492610
- Primary Specialty
-
Thoracic Surgery (Cardiothoracic Vascular)
208G00000X
- Additional Specialty
- Thoracic Surgery (Cardiothoracic Vascular)
- Additional Specialty
- Thoracic Surgery (Cardiothoracic Vascular)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.