Individual
CAROLYN D BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1009 W GREEN ST, HASTINGS, MI 49058-1710
(616) 391-3139
(616) 391-3044
Mailing address
100 MICHIGAN STREET NE, MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704151642
MI
Other
Enumeration date
06/15/2006
Last updated
01/05/2017
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