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NPI Code Detail

MEDICARE: AVIAL BUGGS

MEDICARE:   AVIAL  BUGGS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1023950235
Entity Type Code : Individual
Provider Name (Legal Business Name) : AVIAL BUGGS
Provider Business Mailing Address
First Line : 6624 RUSTIC RIDGE TRL
Second Line :
City : GRAND BLANC
State : MI
Zip : 48439-4955
Country : US
Telephone Number : 833-478-9464
Fax Number :
Provider Business Practice Location Address
First Line : 6624 RUSTIC RIDGE TRL
Second Line :
City : GRAND BLANC
State : MI
Zip : 48439-4955
Country : US
Telephone Number : 833-478-9464
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

Similar Medicare Providers

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Practice Location Address:
6624 RUSTIC RIDGE TRL
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48439-4955
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Practice Fax:
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1679449730 — JALEN SANDERS
Practice Location Address:
6624 RUSTIC RIDGE TRL
GRAND BLANC, MI
48439-4955
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Practice Fax:
1972471159 — RUSTIC RIDGE SPECIALIZED RESIDENTIAL
Practice Location Address:
6624 RUSTIC RIDGE TRL
GRAND BLANC, MI
48439-4955
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Practice Fax:
1104781962 — KENDRICK LAMAR MOORE
Practice Location Address:
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GRAND BLANC, MI
48439-4955
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Practice Fax: 810-462-1093

Directions to “ AVIAL BUGGS ” Practice Location

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