Organization
DANE BAKER OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANE BAKER OD (OWNER)
(906) 774-6288
Entity
Organization
Contact information
Practice address
1700 N STEPHENSON AVE, IRON MOUNTAIN, MI 49801-1411
(906) 774-6288
Mailing address
1700 N STEPHENSON AVE, IRON MOUNTAIN, MI 49801-1411
(906) 774-6288
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1558780973
MI
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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