Individual
AMANDA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
718 N MACOMB ST, MONROE, MI 48162-7815
(734) 240-8400
Mailing address
17 W FRONT ST APT 1, MONROE, MI 48161-2386
(607) 542-1860
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34.014811
OH
207P00000X
Emergency Medicine Physician
5101025941
MI
207P00000X
Emergency Medicine Physician
Primary
5151010744
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2018
Last updated
04/12/2021
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