Individual
IRENEUSZ BAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27200 BALDWIN AVE, WARREN, MI 48092-2782
(586) 344-4495
Mailing address
27200 BALDWIN AVE, WARREN, MI 48092-2782
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
B200343005123
MI
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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