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Kathleen De Baker
Pediatric Nurse Practitioner in Wyandotte, Michigan
NPI 1548673635

Kathleen De Baker is a Pediatric Nurse Practitioner based in Wyandotte, MI and is specialized in Pediatrics. Kathleen De Baker practices in Wyandotte, MI. The NPI Number for Kathleen De Baker is 1548673635 and holds a License No. 4704152106 (Michigan).

The current practice location address for Kathleen De Baker is 2333 Biddle Ave, Wyandotte, MI and can be reached out via phone at 734-246-5524.

Location: 2333 Biddle Ave, Wyandotte, MI, 48192-4668
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548673635
Provider Name
Kathleen De Baker
Credential
Provider Entity Type
Individual
Gender
Female
Address
2333 Biddle Ave, Wyandotte, MI, 48192-4668
Phone Number
734-246-5524
Fax Number
Provider Enumeration Date
06/05/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2333 Biddle Ave
City
Wyandotte
State
Michigan
Zip
48192-4668
Phone Number
734-246-5524
Fax Number
person
Provider Business Mailing Address Details
Address
2333 Biddle Ave
City
Wyandotte
State
Michigan
Zip
48192-4668
Phone Number
734-246-5524
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
4704152106 (Michigan)
Definition
Definition to come...
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