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Contact Information

MICHELLE BAKER, PA
22250 PROVIDENCE DRIVE
5TH FLOOOR
SOUTHFIELD, MI48075
 Phone: 248-849-3441
 Fax: 248-849-5389
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MICHELLE BAKER · (Female)

NPI Number 1477557734
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 06/02/2005
Last updated 07/08/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5601003496
Hospital affiliation(s)
  • PROVIDENCE HOSPITAL AND MEDICAL CENTERS - (Acute Care)
    16001 W NINE MILE RD
    SOUTHFIELD, MI 48075
  • ST JOHN HOSPITAL AND MEDICAL CENTER - (Acute Care)
    22101 MOROSS RD
    DETROIT, MI 48236
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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