Individual
WAVERLY MAURICE BAUSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22170 W 9 MILE RD, SOUTHFIELD, MI 48033-6007
(248) 372-6800
Mailing address
25740 SHIAWASSEE RD APT 123, SOUTHFIELD, MI 48033-3743
(810) 986-7348
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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