Individual
ANITA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 N GROESBECK HWY, MOUNT CLEMENS, MI 48043-1562
(313) 921-9422
Mailing address
175 N GROESBECK HWY, MOUNT CLEMENS, MI 48043-1562
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
07/11/2019
Last updated
05/15/2024
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