Provider Demographics
NPI:1831277375
Name:BAIOCCHI, RHONDA E (PA)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:E
Last Name:BAIOCCHI
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:27275 HAGGERTY RD STE 500
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377-3635
Mailing Address - Country:US
Mailing Address - Phone:248-741-6901
Mailing Address - Fax:248-721-8203
Practice Address - Street 1:39475 LEWIS DR STE 200
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48377-2980
Practice Address - Country:US
Practice Address - Phone:248-471-0675
Practice Address - Fax:248-471-0675
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2021-02-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5601002926363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP79608Medicare UPIN
MI0M52870064Medicare ID - Type Unspecified