Individual
JAVIER BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
965 WILSON RD # A327, EAST LANSING, MI 48824-6410
(517) 355-1855
Mailing address
965 WILSON RD # A327, EAST LANSING, MI 48824-6410
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
5151017032
MI
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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