Individual
DANYEL ROXANNE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3231
Mailing address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5151013951
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5151013951
OSTEOPATHIC PHYSICIAN EDUCATIONAL LIMITED LICENSE
MI
Enumeration date
05/30/2019
Last updated
05/30/2019
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