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Individual

IVETTE H BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
725 E STATE ST, STERLING, MI 48659-9548
(989) 654-2491
(989) 654-2491
Mailing address
725 E STATE ST, STERLING, MI 48659-9548
(989) 654-2491
(989) 654-2491

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301085011
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3506510601
BLUE CROSS
MI
05
4735460
MI
Enumeration date
02/15/2006
Last updated
03/15/2016
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