Miracle Baynes
Individual provider Active NPI Other Technician · Romulus, MI
NPI 1346692415 · NPPES record last updated Jul 12, 2016
Key facts
- NPI
- 1346692415
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 35875 Cypress St
Romulus, MI 48174-4033 - Phone
- (313) 407-0334
- NPI assigned
- Jul 12, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
35875 Cypress St
Romulus, MI 48174-4033
Mailing address
35875 Cypress St
Romulus, MI 48174-4033
Phone (313) 407-0334
Other providers in Romulus, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.