Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jacob Bustamante

Individual provider Technician/Technologist · NPI 1073029393

Mr. Jacob Bustamante is a Technician/Technologist in Bingham Farms, Michigan. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

32100 Telegraph Rd Ste 205
Bingham Farms, MI 48025-2454
Phone: (248) 712-4266
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Technician/Technologist (primary) Taxonomy 156F00000X

Record details

NPI number1073029393
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 21, 2017
Last updated in NPPESDecember 21, 2017

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