Individual
DR. ERIC NILE BASMAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
416 CONNABLE AVENUE, NORTHERN MICHIGAN REGIONAL HOSPITAL, PETOSKEY, MI 49770
(231) 487-4000
(248) 476-1780
Mailing address
416 CONNABLE AVENUE, NORTHERN MICHIGAN REGIONAL HOSPITAL, PETOSKEY, MI 49770
(231) 487-4000
(248) 476-1780
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
EB072525
MI
208M00000X
Hospitalist Physician
Primary
4301072525
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4310128
—
MI
Enumeration date
10/25/2005
Last updated
06/26/2017
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