| Doctor Name: | DR. MICHAEL DAVID BALDWIN |
| NPI Number: | 1104895382 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 000490 |
| Business Practice Address: | 10 Wildwood Medical Ctr Essex, CT - 064261154 |
| Business Phone Number: | 8607670145 |
| Business Fax Number: | |
| Mailing Address: | 10 Wildwood Medical Ctr, ESSEX |
| State: | CT |
| Postal Code: | 064261154 |
| Phone Number: | 8607670145 |
| Fax Number: | |
| NPI Enumeration Date: | 03/17/2006 |
| NPI Last Update Date: | 05/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | 000490 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |