Doctor Name: | DR. SHARIF BAIG |
NPI Number: | 1639214596 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 4301029790 |
Business Practice Address: | 26053 Heather Ln Grosse Ile, MI - 481381823 |
Business Phone Number: | 7346714886 |
Business Fax Number: | 3133817224 |
Mailing Address: | 26053 Heather Ln, GROSSE ILE |
State: | MI |
Postal Code: | 481381823 |
Phone Number: | 7346714886 |
Fax Number: | 3133817224 |
NPI Enumeration Date: | 02/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204C00000X |
License Number: | 4301029790 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
Taxonomy Specialization: | |
Taxonomy Definition: |