| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DANE BAKER | 1609459213 | 2021-05-02 |
Dane Baker is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1609459213. Registration indicates Dane Baker is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Surgery (Surgery, ) (Specialist Network, ) (Surgery, Allopathic & Osteopathic Physicians)
| Entity Type | Individual |
| Provider Name | Dr. Dane Baker DO |
| Practice Office Address | 1 GENESYS PKWY GRAND BLANC, MI US |
| Practice Office Telephone | 8106065000 |
| Mailing Address | 1 GENESYS PKWY GRAND BLANC, MI 484398065 US |
| Business Telephone | 8106065000 |
| Other URL [] | https://healthcare.ascension.org/ |
| Code | Practice | License No State |
|---|---|---|
| 208600000X PRIMARY | Allopathic & Osteopathic Physicians Surgery Surgery Specialist Network Surgery Allopathic & Osteopathic Physicians | 5151014930
MI |
| 5151014930 | MEDICAID | MI |