Individual
KATHERINE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2093 HEALTH DR SW STE 201, WYOMING, MI 49519-9691
(616) 452-7099
Mailing address
2093 HEALTH DR SW STE 201, WYOMING, MI 49519-9691
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704314049
MI
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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