Individual
JORDON BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
80 68TH ST SE, GRAND RAPIDS, MI 49548-6980
(616) 391-8242
Mailing address
550 MUNSON AVE, TRAVERSE CITY, MI 49686-3580
(231) 935-8686
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704296754
MI
Other
Enumeration date
03/02/2018
Last updated
08/16/2025
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