Individual
DR. BRUCE M BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5070 CASCADE RD SE, SUITE 250, GRAND RAPIDS, MI 49546-8422
(616) 281-9066
(616) 281-0539
Mailing address
5070 CASCADE RD SE, SUITE 250, GRAND RAPIDS, MI 49546-8422
(616) 281-9066
(616) 281-0539
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101009352
MI
Other
Enumeration date
10/16/2006
Last updated
04/26/2011
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