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General NPI Number Information
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NPI Number | 1295813129
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Entity Type | Organization
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Legal Business Name | PULSAR MEDICAL GROUP PC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 538 BROADWAY ST
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City | MARINE CITY
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State | MI
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Zip | 48039-1605
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Country | US
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Telephone | 810-765-8104
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Fax | 810-765-8169
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Provider Business Mailing Address
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Address Line | 35110 GLENGARY CIR
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City | FARMINGTON HILLS
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State | MI
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Zip | 48331-2618
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Country | US
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Telephone | 313-966-3565
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Fax | 810-765-8169
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Authorized Official
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Title or Position | PRESIDENT
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Name | MOHAMED S SIDDIQUE
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Credential | MD
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Telephone | 586-532-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MS044111
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MK059699
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | WH055371
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License Number State | MI
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