Dr. Nickole Bazger
Obstetrician & Gynecologist Reproductive Endocrinologist
18080 Mack Avenue
Grosse Pointe
, Michigan 48230
Dr. Nickole Bazger
Obstetrician & Gynecologist Reproductive Endocrinologist
18080 Mack Avenue
Grosse Pointe
, Michigan 48230
(313) 789-1810
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About
Features
Specialties
- Obstetrician & Gynecologist
- Reproductive Endocrinologist
Languages spoken
- English
Location
First Address
- Dr. Nickole Bazger
- 18080 Mack Avenue
- Grosse Pointe, MI
- Zip : 48230
- Fax : (313) 789-1810
- Phone : (313) 499-8368
Second Address
- Dr. Nickole Bazger
- 18080 Mack Avenue
- Grosse Pointe, MI
- Zip : 48230
- Fax : (313) 789-1810
- Phone : (313) 499-8368
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | 5101020175 | MI |
| Y | 207VE0102X | Reproductive Endocrinologist | 5101020175 | MI |
National Provider Identifier
| NPI | 1609031202 |
|---|---|
| Provider Name | Dr. Nickole Bazger |
| First Address | Grosse Pointe, MI 48230 |
| Second Address | Grosse Pointe, MI 48230 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/07/2008 |
| Last Update Date | 03/02/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1609031202 | (05) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.