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Individual

DR. JOHN L BAEKE

Active
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Individual

DR. JOHN L BAEKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
G55894
CA
208200000X
Plastic Surgery Physician
T2821
TX
208D00000X
General Practice Physician
Primary
T2821
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18537060
BCBS OF KC
KS
01
—
240003786
RAILROAD MEDICARE
KS
01
—
458239
BCBS OF KS
KS
Enumeration date
05/27/2005
Last updated
06/20/2025
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