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1255859195
ELZBIETA WIESLAWA BABA
SOUTHGATE, MI
NPI
1255859195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MI 4704294575)
Enumeration Date
2017-08-30
Last Update Date
2023-06-26
Business Address
MRS. ELZBIETA WIESLAWA BABA DNP
15450 NORTHLINE RD. SUITE 101
SOUTHGATE, MI 48195-7952
Phone number: 734-225-1315
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Mailing Address
MRS. ELZBIETA WIESLAWA BABA DNP
14600 KING RD # A
RIVERVIEW, MI 48193-7952
Phone number: 734-479-7800
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