Provider Demographics
NPI:1912149683
Name:BARON, PAMELA SUE (MD)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:SUE
Last Name:BARON
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Gender:F
Credentials:MD
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Mailing Address - Street 1:601 JOHN STREET
Mailing Address - Street 2:STE. M206C
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49007
Mailing Address - Country:US
Mailing Address - Phone:269-488-3230
Mailing Address - Fax:269-488-8305
Practice Address - Street 1:601 JOHN ST
Practice Address - Street 2:STE M206C
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49007-5341
Practice Address - Country:US
Practice Address - Phone:269-488-3230
Practice Address - Fax:269-488-8305
Is Sole Proprietor?:No
Enumeration Date:2009-03-27
Last Update Date:2015-07-02
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Provider Licenses
StateLicense IDTaxonomies
MI4301108118208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology