Individual
DR. DANE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1115 S HEMLOCK ST, SUITE 5, IRON MOUNTAIN, MI 49801-3800
(906) 282-0669
Mailing address
1115 S HEMLOCK ST, SUITE 5, IRON MOUNTAIN, MI 49801-3800
(906) 774-6288
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004826
MI
152W00000X
Optometrist
5330001155
MI
Other
Enumeration date
04/14/2014
Last updated
06/06/2014
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