Individual
BERTE J BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1500 EUREKA ROAD, WYANDOTTE, MI 48192
(734) 674-6403
(734) 282-6397
Mailing address
PO BOX 77000, DEPT 78309, DETROIT, MI 48278-0309
(734) 674-6403
(734) 282-6397
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
007203
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4207842
—
MI
Enumeration date
08/22/2006
Last updated
07/08/2007
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