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Individual

JOHN A BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
812 E JOLLY RD, SUITE 210, LANSING, MI 48910-6818
(517) 346-8306
(517) 346-8291
Mailing address
PO BOX 352, MASON, MI 48854-0352
(517) 676-9788
(517) 676-3438

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301051530
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101990665
MI
Enumeration date
04/20/2006
Last updated
06/09/2017
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