Individual
DR. CHRISTOPHER BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 281-6363
Mailing address
PO BOX 165, GRAND RAPIDS, MI 49501-0165
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
6301016035
MI
103T00000X
Psychologist
Primary
6801092812
MI
Other
Enumeration date
08/21/2014
Last updated
09/11/2014
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