Individual
DR. MICHAEL STEPHEN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 LA CASA VIA, BUILDING 3, SUITE 211, WALNUT CREEK, CA 94598-3045
(925) 933-0984
(925) 988-0986
Mailing address
1450 TREAT BLVD # 300, WALNUT CREEK, CA 94597-2168
(925) 952-2828
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G31440
CA
208600000X
Surgery Physician
Primary
G31440
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G314400
—
CA
Enumeration date
10/11/2006
Last updated
07/23/2021
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