Individual
LESLIE DENISE BAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4420 E DAVISON ST, DETROIT, MI 48212-1744
(248) 336-4000
(248) 581-8839
Mailing address
18000 W 9 MILE RD STE 200, SOUTHFIELD, MI 48075-4020
(248) 336-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002565
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601002565
LICENSE
MI
Enumeration date
04/23/2007
Last updated
09/17/2025
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