Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMONIQUE BAZILE
ActiveDOMONIQUE BAZILE is a Physician Assistant healthcare provider located in DETROIT, Michigan. NPI 1659140655 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · DETROIT, MI
Registration Details
- NPI Number
- 1659140655
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 1, 2024 (2.6040421578751 yrs)
- Last Updated
- Sep 17, 2025
Practice Information
- Address
-
18463 LIVERNOIS AVEDETROIT, MI, 482212254Browse MI providers · Browse ZIP 48221
- Phone
- 3133691500
- Fax
- 2483369137
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| JENNY L GRUNWALD | P.A.-C | 1124013016 |
| KAREN L BRONSON | PA-C | 1295722270 |
| MRS. SUSAN LYNN SIEPIERSKI | PA | 1609857952 |
| AMY DERECZYK | PA-C | 1558349050 |
| JULIA SWITZER | PA | 1528046505 |
| CAROLE VANDYKE | P.A. | 1114997228 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.