Individual
ANDREW MARK BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MD
Contact information
Practice address
4500 CASCADE RD SE STE 208, GRAND RAPIDS, MI 49546-3665
(616) 977-5000
(616) 977-0020
Mailing address
4500 CASCADE RD SE STE 208, GRAND RAPIDS, MI 49546-3665
(616) 977-5000
(616) 977-0020
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2901601271
MI
Other
Enumeration date
06/11/2014
Last updated
10/02/2023
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