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Individual

MR. MARK K BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P. A.-C

Contact information

Practice address
2799 W GRAND BLVD, HENRY FORD HOSPITAL, DETROIT, MI 48202-2608
(313) 916-2695
(313) 916-2687
Mailing address
1153 NOTTINGHAM, GROSSE POINTE PARK, MI 48230
(313) 916-2695

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
56011001808
MI

Other

Enumeration date
04/18/2007
Last updated
07/08/2007
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