Individual
CAROL BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2001 S MERRIMAN RD, SUITE 100, WESTLAND, MI 48186-5539
(734) 727-1000
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 752-2186
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301082348
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301082348
MED LICENSE
MI
Enumeration date
06/14/2006
Last updated
11/18/2022
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