Individual
DR. JENNIFER J BAEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25 MICHIGAN ST NE, SUITE 2100, GRAND RAPIDS, MI 49503-2515
(616) 301-3777
Mailing address
1000 MONROE AVE NW, GRAND RAPIDS, MI 49503-1455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301099147
MI
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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