person
Terry Scott Baul, MD
General Practice Physician in Detroit, Michigan
NPI 1942375837

Terry Scott Baul is a General Practice Physician based in Detroit, MI. Terry Scott Baul practices in Detroit, MI and has the professional credentials of MD. The NPI Number for Terry Scott Baul is 1942375837 and holds a License No. 4301042171 (Michigan).

The current practice location address for Terry Scott Baul 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
person
Provider Profile Details
NPI Number
1942375837
Provider Name
Terry Scott Baul
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
17751 E Warren Ave, Detroit, MI, 48224-1329
Phone Number
313-885-6833
Fax Number
313-885-1268
Provider Enumeration Date
11/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
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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