Individual
CARL JACOB BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1108 W STATE ST STE 3, HASTINGS, MI 49058-9711
(269) 945-0922
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301504911
MI
Other
Enumeration date
05/16/2018
Last updated
08/02/2021
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