Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LUISA FERNANDA BAZAN, M.D.
ActiveLUISA FERNANDA BAZAN, M.D. is a Sports Medicine (IM) healthcare provider located in DETROIT, Michigan. NPI 1891863320 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · DETROIT, MI
Registration Details
- NPI Number
- 1891863320
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 1, 2006 (19.68141003982 yrs)
- Last Updated
- Mar 5, 2021
- Licenses
-
4301073791 (MI)4301073791 (MI)4301073791 (MI)
Practice Information
- Address
-
2799 WEST GRAND BOULEVARDHENRY FORD HEALTH SYSTEMDETROIT, MI, 48202Browse MI providers · Browse ZIP 48202
- Phone
- 3139162421
- Fax
- 3139169102
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Pulmonary Disease
- Additional Specialty
- Sports Medicine (IM)
Other Sports Medicine (IM) Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| DR. THOMAS PISKOROWSKI | DO | 1518909597 |
| DR. JOHN HAAPANIEMI | DO | 1154363133 |
| DR. CHRISTOPHER L. DRAKE | PH.D. | 1083782528 |
| DR. RUTH DARCEL BARNETT | D.O. | 1306969944 |
| POONAM MISHRA | M.D | 1437312337 |
| DAVID GESSERT | — | 1750709465 |
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.