Individual
DR. ELSI MARIA BACCARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2861 ORCHARD PLACE, ORCHARD LAKE, MI 48324
(313) 378-9914
(906) 387-2825
Mailing address
2861 ORCHARD PLACE, ORCHARD LAKE, MI 48324
(313) 378-9914
(906) 387-2825
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18403
WI
207Q00000X
Family Medicine Physician
5101009526
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5170118
BLUE CROSS BLUE SHIELD
MI
Enumeration date
01/16/2007
Last updated
07/21/2023
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