Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 5101005606 | MI |
N | 111NI0900X | Internist | 5101005606 | MI |
Y | 207RX0202X | Medical Oncology | 5101005606 | MI |
NPI | 1003992066 |
---|---|
Provider Name | Laurence H Baker |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-5912 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2006 |
Last Update Date | 23/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3036375 | (05) | MI |
E41918 | (02) | MI |