Scott Baker
Technician, Other in Livonia, MI. Individual provider (NPI-1).
NPI number1144977471
StatusActive
Last updated in NPPESMar 7, 2022
Details
- NPI
- 1144977471
- Entity type
- Individual (NPI-1)
- Name
- Scott Baker
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 7, 2022
- Certification date
- Mar 7, 2022
- Last updated
- Mar 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
29550 Five Mile RdLivonia, MI 48154-3710
Phone 800-395-3223
Mailing address
6549 Town Center Dr Ste AClarkston, MI 48346-4824
Phone 800-395-3223
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