Shelly D. Baker, Od, PC

NPI #1407032691 in Manistique, Michigan

Provider Information

NPI Number: 1407032691
Entity Type: Organization
Organization Name: Shelly D. Baker, Od, PC
Primary Specialty: Optometrist
Enumeration Date: Jan 17, 2008
Last Updated: Jan 20, 2012

Practice Location

Address: 1252 W LAKESHORE DR
City: Manistique
State: Michigan
ZIP Code: 49854-1364
Phone: (906) 341-3933

Authorized Official

Name: DR. SHELLY DIANE BAKER, OD
Title: OPTOMETRIST/OWNER
Phone: (906) 341-3933

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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