Tina Pickett Baisden in Clinton Township - Dermatology
Tina Pickett Baisden - NPI 1396753810
Tina Pickett Baisden is a Dermatology in Clinton Township, Michigan. Tina Pickett Baisden practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Tina Pickett Baisden is 1396753810. The last update date is 2023-12-07.
Tina Pickett Baisden's current location address is 16510 19 Mile Rd, Clinton Township, Michigan. You can contact this provider via phone number 5862637200 and fax number 5862868007. The mailing address for Tina Pickett Baisden is 16510 19 Mile Rd, Clinton Township, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tina Pickett Baisden |
|---|---|
| Address | 16510 19 Mile Rd, Clinton Township, Michigan |
| Phone Number | 5862637200 |
| Fax Number | 5862868007 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1396753810 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2023-12-07 |
Provider Mailing Address Detail
| Address | 16510 19 Mile Rd |
|---|---|
| City | Clinton Township |
| State | Michigan (MI) |
| Post Code | 480381106 |
| Phone Number | 5862637200 |
| Fax Number | 5862868007 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 4301057574 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 706359621 | MI | BCBSM | |
| 70015591 | MI | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Tina Pickett Baisden by the Centers for Medicare & Medicaid Services?
The Tina Pickett Baisden has been issued the NPI (National Provider Identifier) 1396753810, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Tina Pickett Baisden?
The Tina Pickett Baisden is situated at 16510 19 Mile Rd, in the city of Clinton Township, state of MI, with the zip code 480381106.
What is the Tina Pickett Baisden's area of specialization and corresponding taxonomy classification?
The Tina Pickett Baisden's specialty field is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Tina Pickett Baisden receive its 1396753810 assignment from the Centers for Medicare & Medicaid Services?
The Tina Pickett Baisden was assigned its 1396753810 by the Centers for Medicare & Medicaid Services on 2006-08-03.
As of what date were the details related to Tina Pickett Baisden most recently updated or revised?
The information pertaining to Tina Pickett Baisden, including its address, specialty, and other relevant details, was last updated or revised on 2023-12-07.
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