HOLLY BASELLE

FARMINGTON HILLS, MI
NPI1780996488
Former NameHOLLY HUGHES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: TX  Q0408)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: MI  L1829113)
Enumeration Date2010-07-09
Last Update Date2015-05-27
Business Address
-- HOLLY BASELLE DO
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336-5919
Phone number: 247-471-8566
Mailing Address
-- HOLLY BASELLE DO
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336-5919
Phone number: 248-471-8566