Individual
MICHAEL J BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5301 E HURON RIVER DR, ANN ARBOR, MI 48106
(734) 712-3456
Mailing address
2000 GREEN RD, SUITE 300, ANN ARBOR, MI 48105-1598
(734) 995-3764
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
062015
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103312146
—
MI
05
—
104107112
—
MI
01
—
MB062015
BLUE SHIELD
MI
Enumeration date
07/03/2006
Last updated
03/03/2020
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