Individual
ROBERT JON BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
(269) 337-6200
Mailing address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
4301064873
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0803903881
BCBS
MI
01
—
0803903882
BCBS
—
05
—
1689642803
—
MI
05
—
4183221
—
MI
05
—
4960285
—
MI
01
—
700C947350
BCBS (WMU)
MI
Enumeration date
03/14/2006
Last updated
03/17/2018
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