Bruce Henry Baker
Family Doctor - Addiction Medicine Internist - Addiction Medicine
3210 Eagle Run Dr Suite 200
Grand Rapids
, Michigan 49525
Bruce Henry Baker
Family Doctor - Addiction Medicine Internist - Addiction Medicine
3210 Eagle Run Dr Suite 200
Grand Rapids
, Michigan 49525
(616) 957-1297
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About
Features
Specialties
- Family Doctor - Addiction Medicine
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Bruce Henry Baker
- 3210 Eagle Run Dr Ne Suite 200
- Grand Rapids, MI
- Zip : 49525
- Fax : (616) 957-1297
- Phone : (616) 957-1200
Second Address
- Bruce Henry Baker
- 3210 Eagle Run Dr Suite 200
- Grand Rapids, MI
- Zip : 49525
- Fax : (616) 957-1297
- Phone : (616) 957-1200
Reviews
FAQs
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What type of doctor is Bruce Henry Baker
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Is Bruce Henry Baker accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0401X | Family Doctor - Addiction Medicine | 100005 | MI |
| N | 207RA0401X | Internist - Addiction Medicine | 100005 | MI |
National Provider Identifier
| NPI | 1952377566 |
|---|---|
| Provider Name | Bruce Henry Baker |
| First Address | Grand Rapids, MI 49525 |
| Second Address | Grand Rapids, MI 49525 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/02/2006 |
| Last Update Date | 30/06/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4786146 | (05) | MI |
| B46178 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.