| R G Baker DO PC | |
|
7226 Allen Rd Allen Park MI 48101-2060 | |
| (313) 383-5530 | |
| Not Available |
| Full Name | R G Baker DO PC |
|---|---|
| Speciality | Family Medicine |
| Location | 7226 Allen Rd, Allen Park, Michigan |
| Authorized Official Name and Position | Ronald G Baker (PRESIDENT) |
| Authorized Official Contact | 3133835530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R G Baker DO PC 7226 Allen Rd Allen Park MI 48101-2060 Ph: (313) 383-5530 | R G Baker DO PC 7226 Allen Rd Allen Park MI 48101-2060 Ph: (313) 383-5530 |
| NPI Number | 1275696635 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 05/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275696635 | NPI | - | NPPES |
| 30516671755360 | Medicaid | MI | |
| 4204573 | Medicaid | MI | |
| 30516581713306 | Medicaid | MI | |
| 4120698 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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