Willie Baker II
Individual provider Active NPI Driver · Detroit, MI
NPI 1245127679 · NPPES record last updated Jun 23, 2025
Key facts
- NPI
- 1245127679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 4500 Saint Clair St
Detroit, MI 48214-4421 - Phone
- (313) 346-7356
- NPI assigned
- Jun 19, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
4500 Saint Clair St
Detroit, MI 48214-4421
Mailing address
4500 Saint Clair St
Detroit, MI 48214-4421
Phone (313) 346-7356
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.