Karly Baisden

NPI #1457772469 in Jackson, Michigan

Provider Information

NPI Number: 1457772469
Entity Type: Individual
Name: Karly Baisden
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Dec 17, 2013
Last Updated: Dec 17, 2013

Practice Location

Address: 205 N EAST AVE
City: Jackson
State: Michigan
ZIP Code: 49201-1753
Phone: (517) 841-1328

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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