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Contact Information

MARY BAGAZINSKI, NP
5301 E. HURON RIVER DRIVE
YPSILANTI, MI48197
 Phone: 734-712-3456
 Fax: 734-712-5797
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for MARY BAGAZINSKI · (Female)

NPI # 1396788030
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 06/13/2006
Last updated 06/13/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4704221348
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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