Individual
ANDREW BACHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22250 PROVIDENCE DR STE 301, SOUTHFIELD, MI 48075-6211
(248) 849-3281
(248) 849-5449
Mailing address
934 MARENGO DR, TROY, MI 48085-1649
(248) 376-2774
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
430150798
MI
Other
Enumeration date
07/31/2019
Last updated
06/23/2025
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