Dr MARIETA P BAUTISTA is a female medical professional, specializing in Psychiatry. She graduated in 1971.
COUNTY OF MACOMB
25401 HARPER AVE
SAINT CLAIR SHORES
MI
480812240
Tel: 5864666912
| Npi | 1497795298 |
| Pac Id | 7719028976 |
| Professional Enrollment Id | I20100109000319 |
| Last Name | BAUTISTA |
| First Name | MARIETA |
| Middle Name | P |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1971 |
| Primary Specialty | PSYCHIATRY |
| Secondary Specialty 1 | GERIATRIC PSYCHIATRY |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | GERIATRIC PSYCHIATRY |
| Organization Legal Name | COUNTY OF MACOMB |
| Group Practice Pac Id | 4880581404 |
| Number Of Group Practice Members | 25 |
| Line 1 Street Address | 25401 HARPER AVE |
| Line 2 Street Address | |
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| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 480812240 |
| Phone Number | 5864666912 |
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| Professional Accepts Medicare Assignment | Y |
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