Individual
JOHN DOUGLAS BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7001 ORCHARD LAKE RD STE 200, WEST BLOOMFIELD, MI 48322-3606
(248) 538-7400
(248) 538-7403
Mailing address
6689 ORCHARD LAKE RD # 297, WEST BLOOMFIELD, MI 48322-3404
(248) 254-8140
(248) 254-8150
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301028184
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1165490
—
MI
Enumeration date
05/11/2006
Last updated
03/14/2019
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