Individual
DUSTIN LEE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1338 LAFAYETTE AVE NE APT 1, GRAND RAPIDS, MI 49505-5044
(616) 204-6813
Mailing address
1338 LAFAYETTE AVE NE APT 1, GRAND RAPIDS, MI 49505-5044
(616) 204-6813
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/20/2016
Last updated
01/17/2025
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