# WEST MICHIGAN ADDICTION CONSULTANTS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588821433
- **Authorized official:** BRUCE BAKER MD (PHYSICIAN)
- **Authorized official phone:** (616) 365-8800

## Contact information

- **Practice address:** 3001 FULLER AVE NE, SUITE 1, GRAND RAPIDS, MI 49505-3247
- **Practice address phone:** (616) 365-8800
- **Practice address fax:** (616) 365-7979
- **Mailing address:** 3001 FULLER AVE NE, SUITE 1, GRAND RAPIDS, MI 49505-3247
- **Mailing address phone:** (616) 365-8800
- **Mailing address fax:** (616) 365-7979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | 100005 | MI | Yes |

## Other

- **Enumeration date:** 05/19/2008
- **Last updated:** 05/19/2008