Individual
DR. GEORGE H BAKER, JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2909 E GRAND RIVER AVE, SUITE 109, LANSING, MI 48912-4300
(517) 487-4480
(517) 487-0193
Mailing address
2909 E GRAND RIVER AVE, SUITE 109, LANSING, MI 48912-4300
(517) 487-4480
(517) 487-0193
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
4301028404
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103182220
—
MI
Enumeration date
09/21/2006
Last updated
02/10/2011
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