Provider Demographics
NPI:1558589929
Name:BAADE, MARK JOSEPH (DO)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:JOSEPH
Last Name:BAADE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:11530 HIDDEN SPRING TRL
Mailing Address - Street 2:
Mailing Address - City:DEWITT
Mailing Address - State:MI
Mailing Address - Zip Code:48820-7794
Mailing Address - Country:US
Mailing Address - Phone:810-908-2938
Mailing Address - Fax:
Practice Address - Street 1:1200 E. MICHIGAN AVE.
Practice Address - Street 2:SUITE 370
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-2819
Practice Address - Country:US
Practice Address - Phone:517-484-4451
Practice Address - Fax:517-484-0291
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101016412207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology