Individual
DR. DANE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5000
Mailing address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5151014930
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5151014930
—
MI
Enumeration date
05/02/2021
Last updated
09/03/2021
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