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Domonique Bazile
NPI 1659140655 · on the registry since 2024
Practice
- Address
- 18463 Livernois Ave
Detroit, MI 48221 - Phone
- (313) 369-1500
- Fax
- (248) 336-9137
- Organisation at this address
- Exclusive Physicians Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Sex
- Female
- Record last updated
- 2025-09-17
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