Healthcare Provider Details

I. General information

NPI: 1023383668
Provider Name (Legal Business Name): FRANCESCA MARIE BUSKULIC D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2012
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3860 DOBIE RD
OKEMOS MI
48864-3704
US

IV. Provider business mailing address

PO BOX 1040
SYOSSET NY
11791-0010
US

V. Phone/Fax

Practice location:
  • Phone: 517-381-6100
  • Fax:
Mailing address:
  • Phone: 800-860-3274
  • Fax: 888-910-1059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number5101019833
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: