Individual
DR. WALTER JOHN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
32121 WOODWARD AVE, SUITE 201, ROYAL OAK, MI 48073-6237
(248) 398-2200
(248) 398-2280
Mailing address
32121 WOODWARD AVE, SUITE 201, ROYAL OAK, MI 48073-6237
(248) 398-2200
(248) 398-2280
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
003199
MI
103TC0700X
Clinical Psychologist
Primary
003199
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680F34869
BCBSM
MI
Enumeration date
05/14/2007
Last updated
09/11/2025
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