Kathleen De Baker

NPI 1548673635 · on the registry since 2014 · sole proprietor

Practice

Address: 2333 Biddle Ave
Wyandotte, MI 48192
Phone: (734) 246-5524
Organisation at this address: Robert Pensler M D
Epmg Downriver Pllc
Henry Ford Wyandotte
Henry Ford Wyandotte
Henry Ford Health System
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 286

Registry record

Primary taxonomy: 363LP0200X
363LP0200X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-06-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan