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Individual

DR. JEREMY BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DNP, PMHNP

Contact information

Practice address
1603 E 9 MILE RD, FERNDALE, MI 48220-2065
(248) 514-4955
Mailing address
291 CHESTERFIELD AVE, BIRMINGHAM, MI 48009-1284

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704404508
MI

Other

Enumeration date
11/13/2024
Last updated
11/13/2024
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