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Individual

MR. RONALD GLEN BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APNP

Contact information

Practice address
910 FREMONT ST, UWSP HEALTH SERVICE, STEVENS POINT, WI 54481-3105
(715) 346-4317
(715) 346-4752
Mailing address
126 WALKINS CT, STEVENS POINT, WI 54481-6406
(715) 341-1304

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
863033
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43851000
WI
Enumeration date
05/09/2007
Last updated
07/08/2007
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