Individual
MELISSA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
5440 CORPORATE DR, TROY, MI 48098-2646
(866) 902-5854
Mailing address
31007 FLORENCE ST, GARDEN CITY, MI 48135-1372
(734) 788-7624
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704234211
MI
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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