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Individual

MICHAEL BALDWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1401 CHESTER BLVD, RICHMOND, IN 47374-1908
(765) 983-3000
Mailing address
1401 CHESTER BLVD, RICHMOND, IN 47374-1908
(765) 983-3000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01031896
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000031693
BLUE SHIELD-REID HOSP
IN
05
0573535
OH
05
100367850
IN
Enumeration date
09/27/2006
Last updated
05/06/2014
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