| Doctor Name: | MR. RONALD GLEN BAKER |
| NPI Number: | 1003020322 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | APNP |
| License Number: | 863033 |
| Business Practice Address: | 910 Fremont St Uwsp Health Service Stevens Point, WI - 544813105 |
| Business Phone Number: | 7153464317 |
| Business Fax Number: | 7153464752 |
| Mailing Address: | 126 Walkins Ct, STEVENS POINT |
| State: | WI |
| Postal Code: | 544816406 |
| Phone Number: | 7153411304 |
| Fax Number: | |
| NPI Enumeration Date: | 05/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 863033 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |