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Organization
DAVID BASCH DPM PC
Active
Organization
DAVID BASCH DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BASCH (OWNER)
(586) 979-7502
Entity
Organization
Contact information
Practice address
39601 VAN DYKE AVE, STERLING HEIGHTS, MI 48313-4625
(586) 979-7502
(586) 979-3333
Mailing address
39601 VAN DYKE AVE, STERLING HEIGHTS, MI 48313-4625
(586) 979-7502
(586) 979-3333
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0330700001
DME PECAN
MI
01
—
5505022
PECAN
MI
Enumeration date
04/15/2008
Last updated
10/13/2011
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