| Keith R. Baker Md Pc | |
|
168 S Howell St Hillsdale MI 49242-2040 | |
| (517) 437-4451 | |
| Not Available |
| Full Name | Keith R. Baker Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 168 S Howell St, Hillsdale, Michigan |
| Authorized Official Name and Position | Keith R Baker (OWNER) |
| Authorized Official Contact | 5174374402 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith R. Baker Md Pc Po Box 187 Hillsdale MI 49242-0187 Ph: (517) 523-3695 | Keith R. Baker Md Pc 168 S Howell St Hillsdale MI 49242-2040 Ph: (517) 437-4451 |
| NPI Number | 1235322017 |
|---|---|
| Provider Enumeration Date | 08/24/2007 |
| Last Update Date | 03/04/2008 |
| Medicare PECOS PAC ID | 6608845011 |
|---|---|
| Medicare Enrollment ID | O20040930001214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235322017 | NPI | - | NPPES |
| 4646860 | Medicaid | MI | |
| 1103001371 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | KB041163 (Michigan) | Primary |
| Provider Name | Keith R Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538271267 PECOS PAC ID: 9335118744 Enrollment ID: I20041001000183 |
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