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-- MIMA BACIC -- MD

Individual Provider (NPI-1) Active

Hospitalist

Provider Information

NPI Number
1669443057
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
1500 E SHERMAN BLVD, MUSKEGON, MI, 494441849
Phone
(231) 672-3883

Specialties & Taxonomies

Internal Medicine License: MI #4301077001
Hospitalist Primary License: MI #4301077001

All Addresses

LOCATION

1500 E SHERMAN BLVD

MUSKEGON, MI, 494441849

(231) 672-3883

MAILING

PO BOX 1847

MUSKEGON, MI, 494431847

(231) 727-4444