MEDICARE: CAROLINE BAKER DUNKLEE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	4704330661	MI
2	163W00000X	Registered Nurse	4704330661	MI

General Provider Information

NPI Number	:	1043952567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE BAKER DUNKLEE

Provider Business Mailing Address
First Line	:	25130 SOUTHFIELD RD
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48075-1910
Country	:	US
Telephone Number	:	248-234-6797
Fax Number	:

Provider Business Practice Location Address
First Line	:	2115 25 MILE RD
Second Line	:
City	:	SHELBY TWP
State	:	MI
Zip	:	48316-1097
Country	:	US
Telephone Number	:	866-389-2727
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2022
Last Update Date	:	11/19/2025

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Directions to “ CAROLINE BAKER DUNKLEE ” Practice Location

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