West Branch Pediatrics

NPI #1255306114 in West Branch, Michigan

Provider Information

NPI Number: 1255306114
Entity Type: Organization
Organization Name: West Branch Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Feb 22, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 337 EAST HOUGHTON AVE
City: West Branch
State: Michigan
ZIP Code: 48661
Phone: (989) 343-9466

Authorized Official

Name: JOHNIE C BAKER, MD
Title: OWNER
Phone: (989) 343-9466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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