Individual
MICHAEL LOUIS BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, DEPT OF PATHOLOGY, LEBANON, NH 03756-1000
(603) 650-8693
Mailing address
1 MEDICAL CENTER DR, DEPT OF PATHOLOGY, LEBANON, NH 03756-1000
(603) 650-8693
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
17803
NH
207ZP0213X
Pediatric Pathology Physician
17803
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3106842
—
NH
Enumeration date
04/10/2007
Last updated
02/14/2017
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