Shan R Baker
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon
1500 East Medical Center Dr 1st Floor Taubman Ctr Recp A
Ann Arbor
, Michigan 48109-5312
Shan R Baker
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon
1500 East Medical Center Dr 1st Floor Taubman Ctr Recp A
Ann Arbor
, Michigan 48109-5312
(734) 647-5299
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Shan R Baker
- 3621 S State St
- Ann Arbor, MI
- Zip : 48108-1633
- Phone : (734) 647-5299
Second Address
- Shan R Baker
- 1500 East Medical Center Dr 1st Floor Taubman Ctr Recp A
- Ann Arbor, MI
- Zip : 48109-5312
- Phone : (734) 936-8051
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 4301038320 | MI |
| N | 207YS0123X | Facial Plastic Surgeon | 4301038320 | MI |
National Provider Identifier
| NPI | 1376630137 |
|---|---|
| Provider Name | Shan R Baker |
| First Address | Ann Arbor, MI 48108-1633 |
| Second Address | Ann Arbor, MI 48109-5312 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/10/2006 |
| Last Update Date | 28/11/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1267168 | (05) | MI |
| E26719 | (02) | MI |
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.