Organization
TIMOTHY BAKER IP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY BAKER (IND. PROVIDER)
(614) 515-7897
Entity
Organization
Contact information
Practice address
12007 MALLARD POND DR, PICKERINGTON, OH 43147-8620
(614) 515-7897
Mailing address
12007 MALLARD POND DR, PICKERINGTON, OH 43147-8620
(614) 515-7897
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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