Individual
MAX JOSEPH BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9381 AUTUMNGLO DR, CLARKSTON, MI 48348-1611
(248) 202-8316
Mailing address
5571 PARVIEW DR APT 301, CLARKSTON, MI 48346-2833
(248) 202-8316
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M00000X
TAXONOMY
—
Enumeration date
08/01/2018
Last updated
08/01/2018
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