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Individual

DR. ROBERT LEONARD BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1115 S HEMLOCK ST, SUITE 5, IRON MOUNTAIN, MI 49801-3800
(906) 774-6288
(906) 774-6295
Mailing address
PO BOX 746, IRON MOUNTAIN, MI 49801-0746
(906) 774-6288
(906) 774-6295

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002442
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5029656
MI
Enumeration date
05/10/2006
Last updated
01/13/2009
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