Individual
JAYDEN KENNETH BAEHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8623 N WAYNE RD STE 200, WESTLAND, MI 48185-1137
(734) 458-4601
Mailing address
19066 SHAY CT, LIVONIA, MI 48152-4121
(248) 595-2477
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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