Individual
SCOTT J BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 BEAUBIEN ST FL 2, DETROIT, MI 48201-2119
(313) 745-5398
(313) 993-0393
Mailing address
3901 BEAUBIEN ST FL 2, DETROIT, MI 48201-2119
(313) 745-5398
(313) 993-0393
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
4301099053
MI
2085R0202X
Diagnostic Radiology Physician
4301099053
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2011
Last updated
09/22/2020
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