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Individual

DR. SCOTT ALAN BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4175 N EUCLID AVE STE 10, BAY CITY, MI 48706-2483
(989) 684-4400
(989) 684-0560
Mailing address
4175 N EUCLID AVE, SUITE 10, BAY CITY, MI 48706-2483
(989) 684-4400
(989) 684-0560

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
4301053017
MI
207Y00000X
Otolaryngology Physician
Primary
4301053017
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04000923042
BCBSM PIN
MI
01
0400910811
BCBSM PIN
01
0400923042
HEALTHPLUS PROVIDER ID
MI
05
3043790
MI
05
4954125
MI
Enumeration date
10/31/2005
Last updated
06/20/2024
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