Individual
ANDREA COLLEEN BAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0535
(410) 550-0491
Mailing address
1779 BRIDGEWATER DR, YPSILANTI, MI 48198-3282
(240) 258-8384
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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