Individual
GARY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3320 W SHORE DR, HOLLAND, MI 49424-7753
(616) 994-1110
(616) 994-1165
Mailing address
34 E CENTRAL AVE, ZEELAND, MI 49464-1716
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5302039305
MI
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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