Individual
JOHNIE C BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 E STATE ST, STERLING, MI 48659-9548
(989) 654-2491
(989) 654-2491
Mailing address
PO BOX 740, STERLING, MI 48659-0740
(989) 654-2491
(989) 654-2491
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301085012
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3506510582
BLUE CROSS
MI
05
—
4721025
—
MI
Enumeration date
02/15/2006
Last updated
03/15/2016
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