institution
Terry Scott Baul, M.d., P.c.
General Practice Physician in Detroit, Michigan
NPI 1619238490

Terry Scott Baul, M.d., P.c. is a General Practice Physician based in Detroit, MI. Terry Scott Baul, M.d., P.c. practices in Detroit, MI. The NPI Number for Terry Scott Baul, M.d., P.c. is 1619238490 and holds a License No. 4301042171 (Michigan).

The current practice location address for Terry Scott Baul, M.d., P.c. is 17751 E Warren Ave, Detroit, MI and can be reached out via phone at 313-885-6833 and via fax at 313-885-1268.

Location: 17751 E Warren Ave, Detroit, MI, 48224-1329
institution
Provider Profile Details
NPI Number
1619238490
Provider Name
Terry Scott Baul, M.d., P.c.
Credential
Provider Entity Type
Organization
Address
17751 E Warren Ave, Detroit, MI, 48224-1329
Phone Number
313-885-6833
Fax Number
313-885-1268
Provider Enumeration Date
06/07/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0821263 01 MI BCBSM
1624055 05 MI
institution
Provider Business Practice Location Address Details
Address
17751 E Warren Ave
City
State
Zip
48224-1329
Phone Number
313-885-6833
Fax Number
313-885-1268
person
Provider Business Mailing Address Details
Address
17751 E Warren Ave
City
State
Zip
48224-1329
Phone Number
313-885-6833
Fax Number
313-885-1268
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
4301042171 (Michigan)
Definition
Definition to come...
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