Individual
MICHELLE BASILIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E. MEDICAL CENTER DR., 1H247, ANN ARBOR, MI 48109
(734) 936-4280
Mailing address
379 CAMPUS DR FL 4, SOMERSET, NJ 08873-1161
(732) 937-8939
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA12065000
NJ
Other
Enumeration date
06/22/2020
Last updated
04/22/2025
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