Individual
BRUCE HENRY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3210 EAGLE RUN DR, SUITE 200, GRAND RAPIDS, MI 49525
(616) 957-1200
(616) 957-1297
Mailing address
3210 EAGLE RUN DR NE, SUITE 200, GRAND RAPIDS, MI 49525
(616) 957-1200
(616) 957-1297
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
100005
MI
207RA0401X
Addiction Medicine (Internal Medicine) Physician
100005
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4786146
—
MI
Enumeration date
02/23/2006
Last updated
05/17/2026
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