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Individual

TIMOTHY BAGGETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
7700 E MICHIGAN AVE, SALINE, MI 48176-1721
(734) 429-6400
Mailing address
140 MULBERRY ST, WYANDOTTE, MI 48192-4628
(734) 752-0101

Taxonomy

Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
4704286675
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2083X0100X
OCCUPATIONAL MEDICINE
MI
Enumeration date
05/25/2018
Last updated
05/25/2018
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