Blayne David Baggett
Blayne David Baggett is a Physician Assistant in Fenton, Michigan. Qualified in 2015, 11 years ago. Practices with Svc Dermatology PC, a 5-clinician group and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 11
- Licensed in
- MI
- In the registry since
- 2015
Practice location Address checks out
305 N Leroy StFenton, MI 48430-2729
Phone: (810) 629-9200
Fax: (810) 629-9653
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 5601007628 (MI) |
|---|
Record details
| NPI number | 1114382637 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 29, 2015 |
| Last updated in NPPES | December 29, 2015 |
| Mailing address | 305 N Leroy St, Fenton, MI 48430-2729 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Svc Dermatology Pc — 5 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Fenton
-
Daniel J Cirka, PAC
305 N Leroy St, Fenton, MI 48430-2729 · (810) 629-9200
-
Darin T Clark, PA-C
102 N Adelaide St, Fenton, MI 48430-2670 · (810) 629-2245
-
Briana Corpt, PA-C
2420 Owen Rd, Fenton, MI 48430-3417 · (810) 496-2460
-
Deborah A Fowler, P, A-C
102 N Adelaide St, Fenton, MI 48430-2670 · (810) 629-2245