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Individual

GRAYSON ROBERT BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
7751 BYRON CENTER AVE SW STE C, BYRON CENTER, MI 49315-8001
(616) 267-7668
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704330748
MI

Other

Enumeration date
02/08/2021
Last updated
04/21/2021
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