Individual
MARY BAGAZINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5301 E. HURON RIVER DRIVE, YPSILANTI, MI 48197
(734) 712-3456
(734) 712-5797
Mailing address
5301 E. HURON RIVER DRIVE, YPSILANTI, MI 48197
(734) 712-3456
(734) 712-5797
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704221348
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704221348
MI
Other
Enumeration date
06/13/2006
Last updated
06/13/2011
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