Individual
TERRY SCOTT BAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17751 E WARREN AVE, DETROIT, MI 48224-1329
(313) 885-6833
(313) 885-1268
Mailing address
17751 E WARREN AVE, DETROIT, MI 48224-1329
(313) 885-6833
(313) 885-1268
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301042171
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1624055
—
MI
Enumeration date
11/24/2006
Last updated
12/19/2007
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