Individual
DR. WILLIAM HAN BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8955 W 400 N, MICHIGAN CITY, IN 46360-9330
(219) 861-5800
(219) 861-5543
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01095915A
IN
207R00000X
Internal Medicine Physician
036156110
IL
207RH0003X
Hematology & Oncology Physician
Primary
01095915A
IN
Other
Enumeration date
06/18/2017
Last updated
02/19/2026
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