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Individual

DR. NICKOLE BAZGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
18080 MACK AVENUE, GROSSE POINTE, MI 48230
(313) 499-8368
(313) 789-1810
Mailing address
18080 MACK AVE, GROSSE POINTE, MI 48230-6235
(313) 499-8368
(313) 789-1810

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
5101020175
MI
207V00000X
Obstetrics & Gynecology Physician
MED-PHYS-LIC-127437
MT
207VE0102X
Reproductive Endocrinology Physician
Primary
5101020175
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1609031202
MI
Enumeration date
07/23/2008
Last updated
12/09/2025
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