Provider Demographics
NPI:1255744546
Name:BAKER, DUSTIN (MD)
Entity type:Individual
Prefix:DR
First Name:DUSTIN
Middle Name:
Last Name:BAKER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3601 W 13 MILE RD
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-6712
Mailing Address - Country:US
Mailing Address - Phone:248-898-2673
Mailing Address - Fax:248-898-1517
Practice Address - Street 1:25000 HALL RD STE 300
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:MI
Practice Address - Zip Code:48183-5112
Practice Address - Country:US
Practice Address - Phone:734-672-7758
Practice Address - Fax:810-603-7466
Is Sole Proprietor?:No
Enumeration Date:2014-06-04
Last Update Date:2024-06-13
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Provider Licenses
StateLicense IDTaxonomies
MI4301506927208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery