Individual
MRS. RUTH E BAZICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1001 S RAISINVILLE RD, MONROE, MI 48161-9754
(734) 243-7340
(734) 243-5506
Mailing address
1001 S RAISINVILLE RD, MONROE, MI 48161-9754
(734) 243-7340
(734) 243-5506
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
4704074252
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3492124
—
MI
01
—
OE86008029
MEDICARE
MI
Enumeration date
09/26/2008
Last updated
09/26/2008
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