Individual
JAMIE CHIONI BAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28595 ORCHARD LAKE RD STE 104, FARMINGTON HILLS, MI 48334-2978
(248) 965-0541
(810) 487-4854
Mailing address
28595 ORCHARD LAKE RD STE 104, FARMINGTON HILLS, MI 48334-2978
(248) 965-0541
(810) 487-4854
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101019087
MI
207QS0010X
Sports Medicine (Family Medicine) Physician
5101019087
MI
Other
Enumeration date
07/01/2008
Last updated
06/04/2024
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