Individual
MRS. KRISTIN MARIE BAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
39450 12 MILE RD, NOVI, MI 48377
(248) 344-4140
(248) 344-4145
Mailing address
39450 12 MILE RD, NOVI, MI 48377
(248) 344-4140
(248) 344-4125
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704178401
MI
Other
Enumeration date
03/29/2007
Last updated
04/11/2021
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