Individual
DR. WILLIAM R BAKER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D10467
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150057
UCARE
MN
01
—
15169
DORAL DENTAL
MN
01
—
190006049
RAILROAD MEDICARE
MN
05
—
537022100
—
MN
01
—
86-00410
MEDICA MNCARE-DETROIT LK
MN
01
—
86-24258
MEDICA MNCARE-BRAINERD
MN
01
—
86-24259
MEDICA MNCARE-LITTLE FALL
MN
01
—
86-24260
MEDICA MNCARE-BEMIDJI
MN
Enumeration date
01/18/2006
Last updated
01/13/2011
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