Individual
DR. MARK BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
Mailing address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(121) 722-3840
(217) 277-3960
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036148580
IL
207P00000X
Emergency Medicine Physician
MD-50039
IA
Other
Enumeration date
06/24/2016
Last updated
08/02/2022
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