Derek Baker
Nurse Anesthetist, Certified Registered in Clinton Township, MI. Individual provider (NPI-1).
NPI number1508337197
StatusActive
Last updated in NPPESDec 8, 2018
Details
- NPI
- 1508337197
- Entity type
- Individual (NPI-1)
- Name
- Derek Baker
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 8, 2018
- Last updated
- Dec 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704293006 | MI | Yes |
Practice location
15855 19 Mile RdClinton Township, MI 48038-3504
Phone 586-263-2715
Mailing address
5767 Shannon LnClarkston, MI 48348-5168
Phone 248-535-8644
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