Doctor Name: | DR. MICHAEL ROBERT BAKER |
NPI Number: | 1316913122 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | 005782 |
Business Practice Address: | Blanchfield Army Community Hospital 650 Joel Drive Ft. Campbell, KY - 422235349 |
Business Phone Number: | 2707988372 |
Business Fax Number: | 2709560180 |
Mailing Address: | Blanchfield Army Community Hospital, 650 Joel Drive FT. CAMPBELL |
State: | KY |
Postal Code: | 422235349 |
Phone Number: | 2707988372 |
Fax Number: | 2709560180 |
NPI Enumeration Date: | 02/23/2006 |
NPI Last Update Date: | 12/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 005782 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |