Organization
BAKER EAR NOSE & THROAT ASSOCIATES PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT A BAKER MD (OWNER)
(989) 684-4400
Entity
Organization
Contact information
Practice address
4175 N EUCLID, SUITE 10, BAY CITY, MI 48706
(989) 684-4400
(989) 684-0560
Mailing address
4175 N EUCLID, SUITE 10, BAY CITY, MI 48706
(989) 684-4400
(989) 684-0560
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301053017
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0400910811
BLUE CROSS BLUE SHIELD
MI
01
—
0400923042
HEALTHPLUS PROVIDER ID
MI
01
—
1285625210
INDIVIDUAL NPI NUMBER
MN
01
—
1619069523
GROUP NPI NUMBER
MI
05
—
3043790
—
MI
Enumeration date
09/28/2006
Last updated
03/31/2008
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