Individual
DR. WILLIAM R BAKER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1903 S 6TH ST, BRAINERD, MN 56401-4599
(218) 829-1728
(218) 829-1729
Mailing address
1903 S 6TH ST, BRAINERD, MN 56401-4599
(218) 829-1728
(218) 829-1729
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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