Individual
DR. BRUCE BOARDMAN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3388 I 75 BUSINESS SPUR, SAULT SAINTE MARIE, MI 49783-3605
(906) 635-0196
(906) 635-8295
Mailing address
3388 I 75 BUSINESS SPUR, SAULT SAINTE MARIE, MI 49783-3605
(906) 635-0196
(906) 635-8295
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
BB005180
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1722510
—
MI
Enumeration date
07/27/2006
Last updated
07/09/2007
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