Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tyrell Baker, CCP

Individual provider Perfusionist · NPI 1558700807

Tyrell Baker, CCP is a Perfusionist in Livonia, Michigan. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

31330 Schoolcraft Rd Ste 200
Livonia, MI 48150-2041
Phone: (734) 525-9712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Perfusionist (primary) Taxonomy 242T00000X

Record details

NPI number1558700807
Entity typeIndividual (Type 1)
GenderMale
Credentials CCP
Sole proprietorNo
NPI enumeratedJune 20, 2013
Last updated in NPPESJune 20, 2013
Mailing address31330 Schoolcraft Rd, Ste 200, Livonia, MI 48150-2041

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