Individual
DR. MARISSA ELIZABETH BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
32000 TELEGRAPH RD, BINGHAM FARMS, MI 48025-2442
(248) 270-5272
(248) 647-1799
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4301100856
MI
Other
Enumeration date
06/26/2012
Last updated
01/19/2024
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