Individual
VALERIE BASKERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3310 W BIG BEAVER RD, SUITE 137, TROY, MI 48084-2809
(248) 792-5200
(248) 712-4214
Mailing address
21650 W 11 MILE RD, STE 202, SOUTHFIELD, MI 48076-3777
(248) 792-5200
(248) 712-4214
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
5901001685
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H21400
BCBSM
—
05
—
3217423
—
MI
Enumeration date
03/29/2007
Last updated
03/21/2017
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