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DR. WALTER JOHN BAKER PH.D.

Clinical Neuropsychologist

Royal Oak, Michigan

Provider NPI: 1629283304

Provider Information:
DR. WALTER JOHN BAKER PH.D.
Gender: M
Not Sole Proprietor

Practice Location:
32121 WOODWARD AVE SUITE 201 ROYAL OAK, MI 48073 US
Tel: 248-398-2200  Fax: 248-398-2280

Business Mailing Address:
32121 WOODWARD AVE SUITE 201 ROYAL OAK, MI 48073 US
Tel: 248-398-2200  Fax: 248-398-2280

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MI003199
X103TC0700XBehavioral Health & Social Service Providers
Psychologist
MI003199

Other Provider Identifiers:

IssuerNumberStateType
BCBSM680F34869MI01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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