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Search › Michigan › 363A00000X

Blayne Baggett

NPI 1114382637 · on the registry since 2015

Practice

Address
305 N Leroy St
Fenton, MI 48430
Phone
(810) 629-9200
Fax
(810) 629-9653
Organisation at this address
Svc Dermatology Pc
Fenton Pharmacy Llc
Fenton Pharmacy Llc
Fenton Pharmacy Rx Mi Llc
Fenton Pharmacy Rx Mi Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-12-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan