Individual
NICK BAZZY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5302 ROYAL VALE LN, DEARBORN, MI 48126-4211
(248) 885-7535
Mailing address
5302 ROYAL VALE LN, DEARBORN, MI 48126-4211
(248) 885-7535
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2841972
MI
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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