Individual
DR. MATHUE MICHAEL BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 S 48TH ST, SUITE 600, LINCOLN, NE 68506-1275
(402) 483-3333
(402) 483-3297
Mailing address
PO BOX 6607, LINCOLN, NE 68506-0607
(402) 483-3333
(402) 483-3297
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23935
NE
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
23935
NE
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
23935
NE
207RC0000X
Cardiovascular Disease Physician
23935
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093936429
—
IA
01
—
23935
MEDICAL LICENSE
NE
05
—
47084496100
—
NE
Enumeration date
05/02/2007
Last updated
04/10/2020
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