Individual
DEREK BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
840 OAKWOOD BLVD, DEARBORN, MI 48124-2319
(313) 359-7600
(313) 359-7678
Mailing address
840 OAKWOOD BLVD, DEARBORN, MI 48124-2319
(313) 359-7600
(313) 359-7678
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5101027525
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2019
Last updated
04/29/2026
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