Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 5901001432 | MI |
Y | 222Z00000X | Podiatrist | 5901001432 | MI |
NPI | 1073521209 |
---|---|
Provider Name | Dr. Mirza M Baig |
First Address | Dearborn, MI 48126-1415 |
Second Address | Highland Park, MI 48203-3781 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 22/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1932198 | (05) | MI |
U21256 | (02) |