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Individual
MICHAEL BAIN
Active
Individual
MICHAEL BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101024017
MI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
5101025207
MI
Other
Enumeration date
06/14/2018
Last updated
03/03/2023
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