Provider Demographics
NPI:1841670544
Name:BAYCI, MELISSA NICOLE-ELAINE (MD)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:NICOLE-ELAINE
Last Name:BAYCI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11300 E 13 MILE RD STE 4A
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093-2500
Mailing Address - Country:US
Mailing Address - Phone:586-574-1313
Mailing Address - Fax:
Practice Address - Street 1:11300 E 13 MILE RD STE 4A
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-2500
Practice Address - Country:US
Practice Address - Phone:586-574-1313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-08
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5315071392183500000X
MI4301107994207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No183500000XPharmacy Service ProvidersPharmacist