Individual
KIMBERLY GUTOWSKY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3031 WEST GRAND BLVD., 8TH FLOOR, DETROIT, MI 48202
(248) 765-2805
Mailing address
31772 VERONA CIR, BEVERLY HILLS, MI 48025-4264
(248) 765-2805
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704205401
MI
Other
Enumeration date
02/06/2018
Last updated
02/02/2021
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