Individual
DR. STUART FLINT BAKER V
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 MEMORIAL DR STE 310, DECATUR, IL 62526-3983
(217) 877-9000
(217) 877-9615
Mailing address
2 MEMORIAL DR STE 310, DECATUR, IL 62526-3983
(217) 877-9000
(217) 877-9615
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036060776
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036060776
—
IL
Enumeration date
11/04/2005
Last updated
07/23/2013
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