Wellformed AI

NPI 1518087204 · live from the CMS NPI Registry

Valerie Baskerville, DPM

Podiatrist, Primary Podiatric Medicine in Troy, MI. National Provider Identifier 1518087204, active.

NPI record

NPI1518087204 Type 1 · individual
StatusActive
Primary specialtyPodiatrist, Primary Podiatric Medicine 213EP1101X
Practice location3310 W Big Beaver Rd, Suite 137, Troy, MI 48084
Practice phone248-792-5200
Mailing address21650 W 11 Mile Rd, Ste 202, Southfield, MI 48076
EnumeratedMarch 29, 2007
Last updatedMarch 21, 2017
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Podiatrist, Primary Podiatric Medicine primary213EP1101X5901001685 (MI)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.