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Individual

ALYSSA DOMENICA BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
9315 TELEGRAPH RD, REDFORD, MI 48239-1260
(313) 450-4500
Mailing address
3320 VINSETTA BLVD, ROYAL OAK, MI 48073-3382
(313) 655-2391

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009211
MI
363AM0700X
Medical Physician Assistant
MA058111
PA
363AM0700X
Medical Physician Assistant
OA003748
PA

Other

Enumeration date
02/17/2016
Last updated
01/22/2026
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